Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.45 / $4,962.67 / $15,341.00	Facility		$766.45	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.80 / $484.17 / $1,334.44	Professional		$284.80	$484.17	$1,334.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $884.99 / $1,469.14	Professional		$524.16	$884.99	$1,469.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.22 / $834.23 / $1,270.91	Professional		$559.22	$834.23	$1,270.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.36 / $741.42 / $1,314.23	Facility		$451.36	$741.42	$1,314.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $574.26 / $879.57 / $1,145.39	Professional		$574.26	$879.57	$1,145.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.66 / $995.35 / $1,435.73	Facility		$591.66	$995.35	$1,435.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $788.35 / $1,901.08	Facility		$450.00	$788.35	$1,901.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.11 / $944.24 / $1,381.88	Professional		$641.11	$944.24	$1,381.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,588.33 / $7,048.47	Facility		$4,573.85	$5,588.33	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $683.01 / $1,012.96 / $1,560.53	Professional		$683.01	$1,012.96	$1,560.53
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 $719.50 / $1,018.37 / $1,594.84	Professional		$719.50	$1,018.37	$1,594.84