Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.18 / $4,962.67 / $15,341.00	Facility		$920.18	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $584.50 / $1,495.12	Professional		$305.61	$584.50	$1,495.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.62 / $1,013.08 / $1,623.45	Professional		$644.62	$1,013.08	$1,623.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.40 / $978.03 / $1,406.35	Professional		$672.40	$978.03	$1,406.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $557.24 / $829.37 / $1,293.97	Facility		$557.24	$829.37	$1,293.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $677.82 / $926.84 / $1,347.42	Professional		$677.82	$926.84	$1,347.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.55 / $995.81 / $1,221.41	Facility		$444.55	$995.81	$1,221.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.38 / $885.65 / $2,100.40	Facility		$540.38	$885.65	$2,100.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.22 / $1,077.63 / $1,528.07	Professional		$743.22	$1,077.63	$1,528.07
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 $809.25 / $1,184.38 / $1,738.66	Professional		$809.25	$1,184.38	$1,738.66
United Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $4,113.00 / $6,216.00	Facility		$676.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.95 / $1,125.92 / $1,795.37	Professional		$794.95	$1,125.92	$1,795.37