Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.64 / $4,795.28 / $10,127.50	Facility		$803.64	$4,795.28	$10,127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.06 / $465.61 / $1,248.25	Professional		$321.06	$465.61	$1,248.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.51 / $868.88 / $1,273.91	Professional		$500.51	$868.88	$1,273.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.11 / $879.22 / $1,147.41	Professional		$649.11	$879.22	$1,147.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.61 / $788.50 / $1,185.69	Facility		$465.61	$788.50	$1,185.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $546.53 / $759.48 / $1,302.61	Professional		$546.53	$759.48	$1,302.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.84 / $831.82 / $956.76	Facility		$529.84	$831.82	$956.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.61 / $888.58 / $1,220.22	Facility		$465.61	$888.58	$1,220.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $155.84 / $155.84 / $155.84	Facility	AS	$155.84	$155.84	$155.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.99 / $905.75 / $1,283.33	Professional		$628.99	$905.75	$1,283.33
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 $649.34 / $920.60 / $1,347.34	Professional		$649.34	$920.60	$1,347.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $953.05 / $1,512.88	Professional		$698.54	$953.05	$1,512.88