Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $13,803.84	Facility		$912.01	$1,348.96	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,445.44	Professional		$478.63	$645.65	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,479.11	Professional		$549.54	$831.76	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,412.54	Professional		$630.96	$933.25	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,380.38	Facility		$501.19	$776.25	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,445.44	Professional		$676.08	$954.99	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,174.90	Facility		$776.25	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $1,288.25	Facility		$467.74	$758.58	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,380.38	Professional		$79.43	$933.25	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield 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
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 $602.56 / $954.99 / $1,479.11	Professional		$602.56	$954.99	$1,479.11