Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.60 / $4,704.00 / $8,728.00	Facility		$921.60	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $428.41 / $704.43	Professional		$100.39	$428.41	$704.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.33 / $450.52 / $1,257.74	Professional		$194.33	$450.52	$1,257.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $398.53 / $1,044.50	Professional		$202.88	$398.53	$1,044.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.28 / $398.53 / $1,181.50	Facility		$154.28	$398.53	$1,181.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $608.45 / $1,330.47	Professional		$171.32	$608.45	$1,330.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $390.19 / $579.47 / $856.93	Facility		$390.19	$579.47	$856.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.28 / $692.02 / $1,181.50	Facility		$154.28	$692.02	$1,181.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.82 / $551.75 / $1,257.74	Professional		$215.82	$551.75	$1,257.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $371.01 / $1,238.38	Professional		$208.46	$371.01	$1,238.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.96 / $1,071.17 / $1,377.59	Professional		$705.96	$1,071.17	$1,377.59