Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,025.60 / $13,182.57	Facility		$776.25	$6,025.60	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,047.13	Professional		$389.05	$512.86	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $1,174.90	Professional		$426.58	$831.76	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $954.99	Professional		$549.54	$724.44	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $6,025.60	Facility		$467.74	$776.25	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,023.29	Professional		$537.03	$741.31	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $891.25	Facility		$630.96	$758.58	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $1,122.02	Facility		$426.58	$724.44	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,047.13	Professional		$79.43	$741.31	$1,047.13
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 $707.95 / $831.76 / $1,047.13	Professional		$707.95	$831.76	$1,047.13
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 $575.44 / $776.25 / $1,096.48	Professional		$575.44	$776.25	$1,096.48