Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.02 / $4,962.67 / $15,341.00	Facility		$845.02	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.48 / $477.64 / $1,534.30	Professional		$276.48	$477.64	$1,534.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.80 / $935.53 / $1,558.39	Professional		$573.80	$935.53	$1,558.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.83 / $922.47 / $1,349.98	Professional		$616.83	$922.47	$1,349.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.89 / $788.44 / $1,198.80	Facility		$484.89	$788.44	$1,198.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $621.24 / $898.42 / $1,234.95	Professional		$621.24	$898.42	$1,234.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.55 / $932.64 / $1,167.14	Facility		$444.55	$932.64	$1,167.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.89 / $838.32 / $2,007.08	Facility		$484.89	$838.32	$2,007.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $695.64 / $1,001.91 / $1,458.93	Professional		$695.64	$1,001.91	$1,458.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $742.57 / $1,086.78 / $1,654.34	Professional		$742.57	$1,086.78	$1,654.34
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.97 / $1,062.08 / $1,688.89	Professional		$767.97	$1,062.08	$1,688.89