Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $6,606.93	Facility		$457.09	$660.69	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $724.44	Professional		$281.84	$457.09	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $776.25	Professional		$331.13	$478.63	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $707.95	Professional		$316.23	$512.86	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $1,122.02	Facility		$288.40	$478.63	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,000.00	Professional		$389.05	$588.84	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $575.44 / $912.01	Facility		$467.74	$575.44	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $1,148.15	Facility		$288.40	$489.78	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $912.01	Professional		$79.43	$549.54	$912.01
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 $478.63 / $602.56 / $758.58	Professional		$478.63	$602.56	$758.58
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 $380.19 / $616.60 / $1,096.48	Professional		$380.19	$616.60	$1,096.48