Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,548.82 / $7,943.28	Facility		$724.44	$1,548.82	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,548.82	Professional		$562.34	$724.44	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $1,905.46	Professional		$691.83	$1,318.26	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,513.56	Professional		$870.96	$1,148.15	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,445.44	Facility		$602.56	$831.76	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,621.81	Professional		$912.01	$1,071.52	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,258.93	Facility		$954.99	$1,148.15	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,445.44	Facility		$660.69	$851.14	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,659.59	Professional		$79.43	$1,174.90	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,054.61	Facility		$12,022.64	$15,848.93	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,698.24	Professional		$1,148.15	$1,348.96	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,698.24	Professional		$758.58	$1,174.90	$1,698.24