Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $13,803.84	Facility		$870.96	$1,096.48	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $1,096.48	Professional		$426.58	$501.19	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $933.25 / $1,318.26	Professional		$478.63	$933.25	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,122.02	Professional		$645.65	$831.76	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,479.11	Facility		$489.78	$794.33	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,148.15	Professional		$660.69	$776.25	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $870.96	Facility		$660.69	$831.76	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $1,047.13	Facility		$489.78	$630.96	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,174.90	Professional		$79.43	$831.76	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,882.50 / $28,183.83	Facility		$8,709.64	$12,882.50	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,174.90	Professional		$776.25	$912.01	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $28,183.83	Facility		$2,137.96	$13,182.57	$28,183.83
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,202.26	Professional		$549.54	$831.76	$1,202.26