Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.83 / $7,920.26 / $20,400.00	Facility		$707.83	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $527.96 / $1,654.70	Professional		$310.64	$527.96	$1,654.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.84 / $844.84 / $1,278.51	Professional		$487.84	$844.84	$1,278.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $855.94 / $1,104.74	Professional		$631.91	$855.94	$1,104.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.99 / $731.43 / $1,127.40	Facility		$446.99	$731.43	$1,127.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.32 / $751.15 / $1,368.39	Professional		$524.32	$751.15	$1,368.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.96 / $825.15 / $933.31	Facility		$519.96	$825.15	$933.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.99 / $854.33 / $2,662.00	Facility		$446.99	$854.33	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $888.01 / $1,277.88	Professional		$601.91	$888.01	$1,277.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $627.33 / $899.24 / $1,316.08	Professional		$627.33	$899.24	$1,316.08
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 $699.60 / $1,073.99 / $1,477.75	Professional		$699.60	$1,073.99	$1,477.75