Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $870.96	Facility		$29.51	$29.51	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $676.08 / $912.01	Professional		$28.84	$676.08	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $891.25 / $2,290.87	Professional		$57.54	$891.25	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $831.76 / $1,548.82	Facility		$33.88	$831.76	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $691.83 / $2,137.96	Professional		$52.48	$691.83	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $1,698.24	Facility		$1,000.00	$1,584.89	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $812.83 / $1,621.81	Facility		$33.88	$812.83	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $870.96 / $2,041.74	Professional		$66.07	$870.96	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $4,365.16	Facility		$1,819.70	$2,691.53	$4,365.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $794.33 / $2,041.74	Professional		$50.12	$794.33	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $616.60 / $1,737.80	Professional		$34.67	$616.60	$1,737.80