Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $2,792.00 / $7,920.26	Facility		$439.73	$2,792.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $788.10 / $2,132.12	Professional		$182.15	$788.10	$2,132.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.46 / $790.59 / $2,147.94	Professional		$347.46	$790.59	$2,147.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.72 / $704.33 / $1,845.24	Professional		$377.72	$704.33	$1,845.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.85 / $704.33 / $1,798.41	Facility		$261.85	$704.33	$1,798.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.76 / $1,042.95 / $2,355.34	Professional		$320.76	$1,042.95	$2,355.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $395.97 / $1,317.22 / $1,561.77	Facility		$395.97	$1,317.22	$1,561.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.85 / $1,430.47 / $2,685.70	Facility		$261.85	$1,430.47	$2,685.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.55 / $982.96 / $2,140.56	Professional		$381.55	$982.96	$2,140.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,753.18 / $13,050.49	Facility		$5,273.56	$9,753.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $383.91 / $683.25 / $2,228.52	Professional		$383.91	$683.25	$2,228.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.23 / $1,605.51 / $2,479.02	Professional		$1,152.23	$1,605.51	$2,479.02