Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.04 / $7,920.26 / $20,400.00	Facility		$833.04	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.92 / $552.54 / $2,155.64	Professional		$427.92	$552.54	$2,155.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.16 / $850.03 / $1,176.35	Professional		$569.16	$850.03	$1,176.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.51 / $858.27 / $977.03	Professional		$605.51	$858.27	$977.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $860.33 / $1,242.16	Facility		$552.54	$860.33	$1,242.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $623.39 / $823.63 / $1,239.22	Professional		$623.39	$823.63	$1,239.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.41 / $737.62 / $852.91	Facility		$612.41	$737.62	$852.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $991.11 / $7,455.00	Facility		$552.54	$991.11	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $901.68 / $1,187.91	Professional		$708.75	$901.68	$1,187.91
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 $710.36 / $934.51 / $1,231.00	Professional		$710.36	$934.51	$1,231.00
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 $634.40 / $895.13 / $1,217.38	Professional		$634.40	$895.13	$1,217.38