Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $7,943.28	Facility		$549.54	$870.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $870.96	Professional		$281.84	$426.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,122.02	Professional		$371.54	$707.95	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $954.99	Professional		$416.87	$660.69	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $588.84 / $1,096.48	Facility		$363.08	$588.84	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,000.00	Professional		$436.52	$676.08	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $831.76	Facility		$549.54	$741.31	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $1,023.29	Facility		$323.59	$562.34	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $1,000.00	Professional		$79.43	$660.69	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $13,182.57	Facility		$6,918.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,000.00	Professional		$537.03	$741.31	$1,000.00
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 $416.87 / $691.83 / $1,096.48	Professional		$416.87	$691.83	$1,096.48