Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.25 / $4,962.67 / $15,341.00	Facility		$823.25	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.30 / $744.84 / $1,849.52	Professional		$411.30	$744.84	$1,849.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.35 / $943.80 / $1,339.90	Professional		$514.35	$943.80	$1,339.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.38 / $940.58 / $1,209.77	Professional		$718.38	$940.58	$1,209.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $539.05 / $821.70 / $1,239.38	Facility		$539.05	$821.70	$1,239.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.46 / $792.03 / $1,358.46	Professional		$572.46	$792.03	$1,358.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $842.86 / $1,005.00	Facility		$533.04	$842.86	$1,005.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.05 / $927.12 / $2,327.00	Facility		$539.05	$927.12	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.17 / $960.64 / $1,339.90	Professional		$668.17	$960.64	$1,339.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $717.97 / $975.92 / $1,422.20	Professional		$717.97	$975.92	$1,422.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.78 / $1,105.89 / $1,666.12	Professional		$702.78	$1,105.89	$1,666.12