Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.59 / $3,925.18 / $15,341.00	Facility		$568.59	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $370.28 / $1,050.68	Professional		$181.47	$370.28	$1,050.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.75 / $710.72 / $1,072.35	Professional		$437.75	$710.72	$1,072.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.24 / $753.85 / $982.91	Professional		$565.24	$753.85	$982.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.15 / $663.18 / $997.08	Facility		$330.15	$663.18	$997.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $461.67 / $666.06 / $1,061.13	Professional		$461.67	$666.06	$1,061.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.18 / $724.43 / $805.34	Facility		$438.18	$724.43	$805.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.06 / $708.05 / $1,058.25	Facility		$352.06	$708.05	$1,058.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.57 / $759.68 / $1,061.33	Professional		$528.57	$759.68	$1,061.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,838.63 / $18,619.91	Facility		$9,224.37	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $545.26 / $768.46 / $1,059.85	Professional		$545.26	$768.46	$1,059.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.50 / $922.88 / $1,317.57	Professional		$599.50	$922.88	$1,317.57