Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.16 / $4,962.67 / $15,341.00	Facility		$628.16	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $510.71 / $1,889.91	Professional		$367.70	$510.71	$1,889.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.26 / $778.93 / $1,063.03	Professional		$497.26	$778.93	$1,063.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.66 / $835.37 / $942.47	Professional		$582.66	$835.37	$942.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.71 / $761.98 / $1,098.03	Facility		$510.71	$761.98	$1,098.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $529.35 / $630.00 / $1,157.51	Professional		$529.35	$630.00	$1,157.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $502.74 / $677.84 / $724.27	Facility		$502.74	$677.84	$724.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.71 / $874.65 / $3,274.00	Facility		$510.71	$874.65	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $825.09 / $1,057.86	Professional		$633.66	$825.09	$1,057.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $653.78 / $886.96 / $1,132.95	Professional		$653.78	$886.96	$1,132.95
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 $545.37 / $759.02 / $1,130.92	Professional		$545.37	$759.02	$1,130.92