Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.38 / $7,920.26 / $20,400.00	Facility		$762.38	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.96 / $389.61 / $1,130.02	Professional		$254.96	$389.61	$1,130.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.64 / $830.25 / $1,334.44	Professional		$527.64	$830.25	$1,334.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.52 / $813.65 / $1,183.49	Professional		$555.52	$813.65	$1,183.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.90 / $689.60 / $1,082.03	Facility		$443.90	$689.60	$1,082.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $561.48 / $799.68 / $1,116.15	Professional		$561.48	$799.68	$1,116.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.50 / $866.40 / $1,023.76	Facility		$543.50	$866.40	$1,023.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.90 / $728.92 / $1,567.18	Facility		$443.90	$728.92	$1,567.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.20 / $884.25 / $1,268.24	Professional		$622.20	$884.25	$1,268.24
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 $671.35 / $982.56 / $1,447.78	Professional		$671.35	$982.56	$1,447.78
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 $527.19 / $916.02 / $1,502.84	Professional		$527.19	$916.02	$1,502.84