Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,698.24 / $6,025.60	Facility		$707.95	$1,698.24	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,445.44	Professional		$323.59	$660.69	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,778.28	Professional		$501.19	$912.01	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,621.81	Professional		$512.86	$707.95	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $2,089.30	Facility		$354.81	$776.25	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,548.82	Professional		$501.19	$851.14	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,380.38	Facility		$912.01	$1,258.93	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $812.83 / $1,445.44	Facility		$398.11	$812.83	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,698.24	Professional		$79.43	$851.14	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,398.83	Facility		$1,412.54	$1,995.26	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,698.24	Professional		$676.08	$933.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,311.31 / $6,165.95	Facility		$389.05	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,621.81	Professional		$512.86	$891.25	$1,621.81