Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $13,182.57	Facility		$977.24	$1,258.93	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,230.27	Professional		$436.52	$575.44	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,548.82	Professional		$549.54	$1,071.52	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,258.93	Professional		$724.44	$954.99	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $1,698.24	Facility		$537.03	$794.33	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,288.25	Professional		$676.08	$831.76	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $1,000.00	Facility		$707.95	$891.25	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,122.02	Facility		$524.81	$676.08	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,318.26	Professional		$79.43	$933.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $23,988.33 / $28,840.32	Facility		$19,054.61	$23,988.33	$28,840.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,348.96	Professional		$912.01	$1,071.52	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $32,359.37	Facility		$2,884.03	$17,782.79	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,348.96	Professional		$588.84	$912.01	$1,348.96