Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.90 / $4,684.68 / $8,728.00	Facility		$604.90	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.83 / $461.01 / $1,548.63	Professional		$253.83	$461.01	$1,548.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.90 / $679.73 / $909.63	Professional		$385.90	$679.73	$909.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.40 / $711.47 / $812.21	Professional		$493.40	$711.47	$812.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.02 / $590.19 / $991.17	Facility		$380.02	$590.19	$991.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.66 / $510.72 / $977.14	Professional		$441.66	$510.72	$977.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.36 / $542.70 / $619.75	Facility		$369.36	$542.70	$619.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.01 / $683.92 / $991.17	Facility		$461.01	$683.92	$991.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.75 / $714.58 / $906.73	Professional		$491.75	$714.58	$906.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,743.41 / $6,039.89	Facility		$3,709.94	$4,743.41	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $566.45 / $758.96 / $970.33	Professional		$566.45	$758.96	$970.33
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 $424.84 / $585.36 / $970.73	Professional		$424.84	$585.36	$970.73