Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.06 / $2,747.00 / $20,400.00	Facility		$499.06	$2,747.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.59 / $369.62 / $1,058.59	Professional		$239.59	$369.62	$1,058.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.98 / $638.84 / $1,114.08	Professional		$384.98	$638.84	$1,114.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.68 / $591.73 / $922.12	Professional		$404.68	$591.73	$922.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.11 / $563.01 / $891.89	Facility		$331.11	$563.01	$891.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $394.94 / $629.26 / $826.76	Professional		$394.94	$629.26	$826.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.10 / $678.30 / $797.97	Facility		$416.10	$678.30	$797.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.78 / $585.72 / $1,372.22	Facility		$338.78	$585.72	$1,372.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.56 / $682.38 / $997.46	Professional		$458.56	$682.38	$997.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $475.19 / $734.96 / $1,132.26	Professional		$475.19	$734.96	$1,132.26
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 $514.73 / $741.64 / $1,179.33	Professional		$514.73	$741.64	$1,179.33