Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $7,943.28	Facility		$977.24	$1,258.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,230.27	Professional		$489.78	$588.84	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,513.56	Professional		$537.03	$1,047.13	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,258.93	Professional		$724.44	$933.25	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,698.24	Facility		$575.44	$851.14	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,288.25	Professional		$724.44	$870.96	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $977.24	Facility		$741.31	$933.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,202.26	Facility		$537.03	$707.95	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,318.26	Professional		$79.43	$933.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,318.26	Professional		$891.25	$1,047.13	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,348.96	Professional		$616.60	$954.99	$1,348.96