Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,025.60 / $8,709.64	Facility		$812.83	$6,025.60	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $676.08 / $1,174.90	Professional		$251.19	$676.08	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $741.31 / $1,479.11	Professional		$208.93	$741.31	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $436.52	Professional		$251.19	$331.13	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $812.83 / $7,943.28	Facility		$186.21	$812.83	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $691.83 / $6,606.93	Professional		$251.19	$691.83	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $47.86	Facility		$28.84	$43.65	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $234.42 / $1,288.25	Facility		$36.31	$234.42	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $323.59 / $1,288.25	Professional		$70.79	$323.59	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,964.78 / $13,803.84	Facility		$8,709.64	$10,964.78	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,348.96	Professional		$457.09	$831.76	$1,348.96
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 $537.03 / $1,174.90 / $1,659.59	Professional		$537.03	$1,174.90	$1,659.59