Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $977.24 / $1,380.38	Facility		$79.43	$977.24	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $691.83 / $1,000.00	Professional		$100.00	$691.83	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $2,570.40	Professional		$151.36	$213.80	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $2,290.87	Facility		$169.82	$1,071.52	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $707.95 / $2,398.83	Professional		$151.36	$707.95	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $134.90	Facility		$81.28	$128.82	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,071.52 / $2,041.74	Facility		$117.49	$1,071.52	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $977.24 / $2,290.87	Professional		$173.78	$977.24	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $7,413.10	Facility		$4,677.35	$5,888.44	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,071.52 / $1,698.24	Professional		$223.87	$1,071.52	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $7,762.47 / $10,232.93	Facility		$6,309.57	$7,762.47	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,348.96 / $1,995.26	Professional		$407.38	$1,348.96	$1,995.26