Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $13,182.57	Facility		$851.14	$1,096.48	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $977.24	Professional		$389.05	$501.19	$977.24
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 $616.60 / $812.83 / $1,071.52	Professional		$616.60	$812.83	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,513.56	Facility		$467.74	$645.65	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,148.15	Professional		$630.96	$724.44	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $870.96	Facility		$616.60	$794.33	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $977.24	Facility		$457.09	$575.44	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,148.15	Professional		$79.43	$812.83	$1,148.15
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 $794.33 / $933.25 / $1,174.90	Professional		$794.33	$933.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $21,877.62	Facility		$1,995.26	$10,232.93	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,174.90	Professional		$501.19	$812.83	$1,174.90