Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.95 / $2,747.00 / $7,920.26	Facility		$331.95	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.00 / $415.49 / $596.54	Professional		$334.00	$415.49	$596.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.21 / $791.65 / $933.38	Professional		$664.21	$791.65	$933.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $578.94 / $955.40	Facility		$485.00	$578.94	$955.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $583.89 / $667.12 / $1,112.19	Professional		$583.89	$667.12	$1,112.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $516.07 / $712.44 / $764.47	Facility		$516.07	$712.44	$764.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $881.69 / $1,148.70	Facility		$485.00	$881.69	$1,148.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $753.06 / $1,010.47	Professional		$325.56	$753.06	$1,010.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.40 / $854.65 / $1,049.38	Professional		$592.40	$854.65	$1,049.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $755.34 / $1,153.08	Professional		$547.67	$755.34	$1,153.08