Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,230.27 / $7,943.28	Facility		$489.78	$1,230.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $1,023.29	Professional		$251.19	$537.03	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $1,479.11	Professional		$338.84	$691.83	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,258.93	Professional		$407.38	$630.96	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $660.69 / $1,258.93	Facility		$316.23	$660.69	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $776.25 / $1,318.26	Professional		$380.19	$776.25	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,071.52	Facility		$660.69	$954.99	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $1,202.26	Facility		$295.12	$602.56	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $616.60 / $1,348.96	Professional		$79.43	$616.60	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,380.38	Professional		$467.74	$831.76	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,412.54	Professional		$380.19	$707.95	$1,412.54