Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,698.24 / $7,943.28	Facility		$354.81	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $602.56 / $1,412.54	Professional		$177.83	$602.56	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $758.58 / $2,041.74	Professional		$234.42	$758.58	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $724.44 / $1,819.70	Professional		$281.84	$724.44	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $794.33 / $1,949.84	Facility		$223.87	$794.33	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,000.00 / $1,949.84	Professional		$257.04	$1,000.00	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,479.11	Facility		$891.25	$1,258.93	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $741.31 / $1,778.28	Facility		$208.93	$741.31	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $1,905.46	Professional		$79.43	$446.68	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,772.37 / $13,182.57	Facility		$5,248.07	$9,772.37	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,905.46	Professional		$331.13	$588.84	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $1,949.84	Professional		$275.42	$616.60	$1,949.84