Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.49 / $1,984.03 / $7,920.26	Facility		$750.49	$1,984.03	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.18 / $934.25 / $1,944.80	Professional		$356.18	$934.25	$1,944.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.13 / $1,007.33 / $2,410.14	Professional		$593.13	$1,007.33	$2,410.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.66 / $950.11 / $2,088.03	Professional		$646.66	$950.11	$2,088.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.46 / $959.89 / $2,083.80	Facility		$446.46	$959.89	$2,083.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $548.66 / $1,206.15 / $2,596.29	Professional		$548.66	$1,206.15	$2,596.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.14 / $1,539.57 / $1,802.69	Facility		$694.14	$1,539.57	$1,802.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.28 / $1,600.95 / $2,688.02	Facility		$472.28	$1,600.95	$2,688.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $654.62 / $1,126.93 / $2,431.33	Professional		$654.62	$1,126.93	$2,431.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $654.52 / $1,164.86 / $2,517.51	Professional		$654.52	$1,164.86	$2,517.51
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 $1,273.47 / $1,672.99 / $2,800.47	Professional		$1,273.47	$1,672.99	$2,800.47