Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $17,378.01	Facility		$616.60	$933.25	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $891.25	Professional		$302.00	$436.52	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,230.27	Professional		$436.52	$741.31	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,148.15	Professional		$501.19	$758.58	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $1,288.25	Facility		$363.08	$660.69	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,122.02	Professional		$537.03	$758.58	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $933.25	Facility		$630.96	$870.96	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $977.24	Facility		$371.54	$616.60	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,174.90	Professional		$79.43	$741.31	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,202.26	Professional		$660.69	$891.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,148.15	Professional		$457.09	$724.44	$1,148.15