Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.88 / $1,234.17 / $13,320.00	Facility		$579.88	$1,234.17	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.06 / $500.89 / $977.76	Professional		$277.06	$500.89	$977.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.32 / $857.05 / $1,396.67	Professional		$519.32	$857.05	$1,396.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.96 / $794.09 / $1,155.04	Professional		$535.96	$794.09	$1,155.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.41 / $707.26 / $1,177.44	Facility		$445.41	$707.26	$1,177.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.33 / $797.64 / $1,064.16	Professional		$535.33	$797.64	$1,064.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $530.66 / $865.36 / $998.30	Facility		$530.66	$865.36	$998.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.85 / $761.19 / $1,716.73	Facility		$460.85	$761.19	$1,716.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $619.22 / $897.20 / $1,247.88	Professional		$619.22	$897.20	$1,247.88
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 $643.52 / $965.92 / $1,413.67	Professional		$643.52	$965.92	$1,413.67
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 $548.50 / $947.77 / $1,470.47	Professional		$548.50	$947.77	$1,470.47