Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.03 / $3,925.18 / $9,349.70	Facility		$571.03	$3,925.18	$9,349.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $400.07 / $1,130.96	Professional		$270.68	$400.07	$1,130.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.57 / $757.97 / $1,201.70	Professional		$475.57	$757.97	$1,201.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.01 / $731.65 / $1,045.59	Professional		$503.01	$731.65	$1,045.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.77 / $631.60 / $999.41	Facility		$400.77	$631.60	$999.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $507.03 / $719.45 / $1,007.91	Professional		$507.03	$719.45	$1,007.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.74 / $875.69 / $1,267.71	Facility		$586.74	$875.69	$1,267.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.77 / $678.17 / $3,005.10	Facility		$400.77	$678.17	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.84 / $818.29 / $1,129.79	Professional		$577.84	$818.29	$1,129.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.91 / $867.52 / $1,269.65	Professional		$607.91	$867.52	$1,269.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.69 / $832.65 / $1,425.63	Professional		$627.69	$832.65	$1,425.63