Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.76 / $7,920.26 / $20,400.00	Facility		$729.76	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $489.05 / $1,387.90	Professional		$345.35	$489.05	$1,387.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.98 / $773.06 / $1,088.59	Professional		$494.98	$773.06	$1,088.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $825.76 / $940.02	Professional		$579.03	$825.76	$940.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.05 / $728.76 / $1,069.99	Facility		$489.05	$728.76	$1,069.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $592.42 / $746.58 / $1,177.68	Professional		$592.42	$746.58	$1,177.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $531.01 / $705.37 / $749.36	Facility		$531.01	$705.37	$749.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.05 / $922.25 / $7,455.00	Facility		$489.05	$922.25	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $639.78 / $859.56 / $1,132.31	Professional		$639.78	$859.56	$1,132.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $677.15 / $890.82 / $1,173.45	Professional		$677.15	$890.82	$1,173.45
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 $553.86 / $841.31 / $1,171.35	Professional		$553.86	$841.31	$1,171.35