Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.67 / $5,649.00 / $15,341.00	Facility		$896.67	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.04 / $549.46 / $2,109.23	Professional		$371.04	$549.46	$2,109.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.82 / $883.71 / $1,226.27	Professional		$527.82	$883.71	$1,226.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.66 / $951.48 / $1,083.13	Professional		$658.66	$951.48	$1,083.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.46 / $764.43 / $1,181.33	Facility		$549.46	$764.43	$1,181.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.65 / $768.00 / $1,333.65	Professional		$624.65	$768.00	$1,333.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.35 / $694.79 / $835.49	Facility		$472.35	$694.79	$835.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.46 / $973.25 / $5,870.00	Facility		$549.46	$973.25	$5,870.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $678.57 / $943.98 / $1,262.80	Professional		$678.57	$943.98	$1,262.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $757.72 / $996.81 / $1,313.07	Professional		$757.72	$996.81	$1,313.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $800.40 / $1,298.53	Professional		$611.00	$800.40	$1,298.53