Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.48 / $4,962.67 / $15,341.00	Facility		$796.48	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.12 / $541.95 / $1,341.28	Professional		$344.12	$541.95	$1,341.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.48 / $846.83 / $1,368.97	Professional		$534.48	$846.83	$1,368.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.49 / $847.25 / $1,185.64	Professional		$582.49	$847.25	$1,185.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $488.15 / $774.99 / $1,190.22	Facility		$488.15	$774.99	$1,190.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $582.80 / $811.78 / $1,158.56	Professional		$582.80	$811.78	$1,158.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $605.01 / $924.86 / $1,017.73	Facility		$605.01	$924.86	$1,017.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.02 / $826.13 / $3,005.10	Facility		$496.02	$826.13	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.48 / $917.19 / $1,272.16	Professional		$653.48	$917.19	$1,272.16
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 $664.32 / $978.04 / $1,443.99	Professional		$664.32	$978.04	$1,443.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.49 / $966.95 / $1,686.30	Professional		$641.49	$966.95	$1,686.30