Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $13,803.84	Facility		$1,071.52	$1,380.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,348.96	Professional		$537.03	$630.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $1,659.59	Professional		$588.84	$1,148.15	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,348.96	Professional		$776.25	$1,023.29	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,862.09	Facility		$602.56	$977.24	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,412.54	Professional		$794.33	$977.24	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,071.52	Facility		$851.14	$1,023.29	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $1,288.25	Facility		$602.56	$776.25	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,445.44	Professional		$79.43	$1,023.29	$1,445.44
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 $977.24 / $1,148.15 / $1,445.44	Professional		$977.24	$1,148.15	$1,445.44
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 $676.08 / $1,047.13 / $1,479.11	Professional		$676.08	$1,047.13	$1,479.11