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 / $13,803.84	Facility		$977.24	$1,258.93	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,230.27	Professional		$489.78	$575.44	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $1,513.56	Professional		$549.54	$1,047.13	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,258.93	Professional		$724.44	$954.99	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,698.24	Facility		$549.54	$891.25	$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 $812.83 / $954.99 / $1,000.00	Facility		$812.83	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $1,174.90	Facility		$549.54	$724.44	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,348.96	Professional		$79.43	$933.25	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,348.96	Professional		$891.25	$1,047.13	$1,348.96
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 $630.96 / $954.99 / $1,348.96	Professional		$630.96	$954.99	$1,348.96