Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $7,943.28	Facility		$707.95	$891.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $870.96	Professional		$354.81	$426.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $1,071.52	Professional		$380.19	$758.58	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $870.96	Professional		$501.19	$660.69	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,202.26	Facility		$426.58	$602.56	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $912.01	Professional		$512.86	$645.65	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $707.95	Facility		$537.03	$676.08	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $524.81 / $851.14	Facility		$363.08	$524.81	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $676.08 / $954.99	Professional		$79.43	$676.08	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,218.10 / $19,498.45	Facility		$11,481.54	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $954.99	Professional		$645.65	$758.58	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $977.24	Professional		$457.09	$691.83	$977.24