Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $8,709.64	Facility		$489.78	$1,023.29	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $776.25	Professional		$199.53	$363.08	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,096.48	Professional		$398.11	$691.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $977.24	Professional		$416.87	$660.69	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $977.24	Facility		$331.13	$562.34	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $977.24	Professional		$416.87	$630.96	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $794.33	Facility		$512.86	$724.44	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $537.03 / $870.96	Facility		$331.13	$537.03	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $691.83 / $1,000.00	Professional		$79.43	$691.83	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $15,488.17 / $19,054.61	Facility		$9,120.11	$15,488.17	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,000.00	Professional		$537.03	$758.58	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $21,877.62	Facility		$1,096.48	$3,715.35	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,023.29	Professional		$446.68	$676.08	$1,023.29