Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,995.26 / $7,943.28	Facility		$446.68	$1,995.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $758.58 / $1,778.28	Professional		$186.21	$758.58	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $794.33 / $2,137.96	Professional		$269.15	$794.33	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $1,862.09	Professional		$331.13	$758.58	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $933.25 / $2,398.83	Facility		$257.04	$933.25	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $870.96 / $1,995.26	Professional		$302.00	$870.96	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $1,548.82	Facility		$933.25	$1,348.96	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $776.25 / $1,862.09	Facility		$234.42	$776.25	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $1,949.84	Professional		$79.43	$512.86	$1,949.84
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 $380.19 / $676.08 / $1,995.26	Professional		$380.19	$676.08	$1,995.26
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 $309.03 / $776.25 / $2,041.74	Professional		$309.03	$776.25	$2,041.74