Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.04 / $2,747.00 / $7,920.26	Facility		$650.04	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.63 / $455.37 / $1,300.83	Professional		$247.63	$455.37	$1,300.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $825.95 / $1,394.86	Professional		$486.78	$825.95	$1,394.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.71 / $801.81 / $1,224.42	Professional		$537.71	$801.81	$1,224.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.79 / $715.77 / $1,133.19	Facility		$422.79	$715.77	$1,133.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $799.24 / $1,128.11	Professional		$541.17	$799.24	$1,128.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.76 / $1,059.27 / $2,134.04	Facility		$597.76	$1,059.27	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.79 / $761.40 / $3,005.10	Facility		$422.79	$761.40	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $599.67 / $881.37 / $1,324.09	Professional		$599.67	$881.37	$1,324.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $644.16 / $977.90 / $1,506.53	Professional		$644.16	$977.90	$1,506.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.43 / $945.09 / $1,675.87	Professional		$689.43	$945.09	$1,675.87