Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.83 / $4,962.67 / $15,341.00	Facility		$205.83	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $351.87 / $1,259.46	Professional		$87.96	$351.87	$1,259.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $303.44 / $1,667.15	Professional		$133.36	$303.44	$1,667.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $258.01 / $1,670.29	Professional		$175.61	$258.01	$1,670.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.67 / $555.07 / $1,344.84	Facility		$124.67	$555.07	$1,344.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $734.40 / $1,426.37	Professional		$156.02	$734.40	$1,426.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $1,047.20 / $1,335.98	Facility		$185.61	$1,047.20	$1,335.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.67 / $707.36 / $1,446.76	Facility		$124.67	$707.36	$1,446.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $784.31 / $1,630.20	Professional		$176.73	$784.31	$1,630.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,868.22 / $5,743.77	Facility		$3,709.51	$4,868.22	$5,743.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $315.70 / $1,597.49	Professional		$176.00	$315.70	$1,597.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,233.00	Facility		$1,689.00	$5,130.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.82 / $1,207.72 / $1,804.86	Professional		$843.82	$1,207.72	$1,804.86