Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.29 / $4,962.67 / $15,341.00	Facility		$734.29	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.31 / $457.89 / $1,693.67	Professional		$252.31	$457.89	$1,693.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.16 / $835.93 / $1,414.73	Professional		$495.16	$835.93	$1,414.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.29 / $798.95 / $1,225.53	Professional		$538.29	$798.95	$1,225.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.06 / $717.40 / $1,149.39	Facility		$425.06	$717.40	$1,149.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.98 / $808.52 / $1,147.26	Professional		$537.98	$808.52	$1,147.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.13 / $1,072.67 / $2,134.04	Facility		$629.13	$1,072.67	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.06 / $767.88 / $3,005.10	Facility		$425.06	$767.88	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $890.89 / $1,340.84	Professional		$603.29	$890.89	$1,340.84
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 $648.04 / $991.43 / $1,527.37	Professional		$648.04	$991.43	$1,527.37
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 $667.21 / $931.78 / $1,528.71	Professional		$667.21	$931.78	$1,528.71