Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.05 / $8,528.64 / $12,715.20	Facility		$737.05	$8,528.64	$12,715.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $559.73 / $2,100.00	Professional		$412.43	$559.73	$2,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.55 / $801.32 / $1,170.49	Professional		$490.55	$801.32	$1,170.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $801.64 / $902.56	Professional		$564.41	$801.64	$902.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $886.72 / $1,325.16	Facility		$412.43	$886.72	$1,325.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $571.08 / $813.36 / $1,135.24	Professional		$571.08	$813.36	$1,135.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.16 / $713.64 / $1,034.80	Facility		$587.16	$713.64	$1,034.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $913.88 / $5,626.00	Facility		$412.43	$913.88	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.54 / $850.75 / $1,096.95	Professional		$643.54	$850.75	$1,096.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $655.01 / $877.94 / $1,122.43	Professional		$655.01	$877.94	$1,122.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.44 / $919.63 / $1,181.81	Professional		$555.44	$919.63	$1,181.81