Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.03 / $4,962.67 / $15,341.00	Facility		$703.03	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.62 / $577.53 / $1,114.54	Professional		$310.62	$577.53	$1,114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.63 / $926.89 / $1,743.03	Professional		$514.63	$926.89	$1,743.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.58 / $752.72 / $1,505.33	Professional		$568.58	$752.72	$1,505.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.47 / $815.06 / $1,440.99	Facility		$421.47	$815.06	$1,440.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $510.51 / $1,010.04 / $1,324.65	Professional		$510.51	$1,010.04	$1,324.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $657.27 / $1,141.67 / $1,287.74	Facility		$657.27	$1,141.67	$1,287.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.59 / $853.10 / $1,637.25	Facility		$436.59	$853.10	$1,637.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $928.50 / $1,611.69	Professional		$589.91	$928.50	$1,611.69
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 $609.85 / $1,003.98 / $1,807.83	Professional		$609.85	$1,003.98	$1,807.83
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 $830.01 / $1,147.89 / $1,825.33	Professional		$830.01	$1,147.89	$1,825.33