Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.98 / $4,962.67 / $15,341.00	Facility		$770.98	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.49 / $483.99 / $1,297.26	Professional		$293.49	$483.99	$1,297.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.74 / $869.05 / $1,451.93	Professional		$525.74	$869.05	$1,451.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.13 / $846.37 / $1,264.41	Professional		$566.13	$846.37	$1,264.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.19 / $738.75 / $1,199.60	Facility		$448.19	$738.75	$1,199.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $839.84 / $1,166.43	Professional		$570.54	$839.84	$1,166.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $672.68 / $1,102.15 / $2,134.04	Facility		$672.68	$1,102.15	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.19 / $822.15 / $3,005.10	Facility		$448.19	$822.15	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $639.36 / $937.42 / $1,377.69	Professional		$639.36	$937.42	$1,377.69
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 $678.48 / $1,002.50 / $1,544.43	Professional		$678.48	$1,002.50	$1,544.43
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 $548.63 / $980.20 / $1,558.66	Professional		$548.63	$980.20	$1,558.66