Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.66 / $3,925.18 / $15,341.00	Facility		$617.66	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $444.39 / $1,579.84	Professional		$264.31	$444.39	$1,579.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.93 / $821.30 / $1,304.63	Professional		$477.93	$821.30	$1,304.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.82 / $824.65 / $1,121.93	Professional		$608.82	$824.65	$1,121.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $724.86 / $1,157.70	Facility		$434.58	$724.86	$1,157.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.70 / $738.13 / $1,266.00	Professional		$509.70	$738.13	$1,266.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.66 / $838.32 / $950.06	Facility		$537.66	$838.32	$950.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $849.63 / $2,327.00	Facility		$434.58	$849.63	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.38 / $881.66 / $1,303.64	Professional		$589.38	$881.66	$1,303.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $609.85 / $892.55 / $1,342.61	Professional		$609.85	$892.55	$1,342.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.62 / $999.92 / $1,507.54	Professional		$717.62	$999.92	$1,507.54