Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.63 / $976.20 / $7,920.26	Facility		$555.63	$976.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $441.04 / $1,502.76	Professional		$308.25	$441.04	$1,502.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.19 / $718.55 / $1,171.84	Professional		$443.19	$718.55	$1,171.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.89 / $724.51 / $1,012.92	Professional		$534.89	$724.51	$1,012.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.95 / $690.12 / $984.84	Facility		$369.95	$690.12	$984.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $671.95 / $1,152.49	Professional		$454.20	$671.95	$1,152.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.02 / $718.48 / $881.05	Facility		$501.02	$718.48	$881.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.95 / $756.35 / $1,254.74	Facility		$369.95	$756.35	$1,254.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.32 / $790.40 / $1,171.84	Professional		$536.32	$790.40	$1,171.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,386.92 / $10,378.18 / $13,050.49	Facility		$8,386.92	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $542.52 / $805.69 / $1,241.23	Professional		$542.52	$805.69	$1,241.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.40 / $991.37 / $1,454.09	Professional		$606.40	$991.37	$1,454.09