Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.16 / $5,116.62 / $20,400.00	Facility		$802.16	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $508.80 / $1,254.29	Professional		$304.79	$508.80	$1,254.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.46 / $856.53 / $1,394.42	Professional		$530.46	$856.53	$1,394.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.29 / $858.83 / $1,223.03	Professional		$590.29	$858.83	$1,223.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.51 / $778.85 / $1,190.70	Facility		$494.51	$778.85	$1,190.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $591.89 / $831.47 / $1,176.59	Professional		$591.89	$831.47	$1,176.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.29 / $926.21 / $1,049.22	Facility		$582.29	$926.21	$1,049.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.51 / $813.63 / $1,804.29	Facility		$494.51	$813.63	$1,804.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.63 / $928.44 / $1,311.53	Professional		$655.63	$928.44	$1,311.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,179.07	Facility		$1,245.03	$1,561.00	$2,179.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $667.31 / $987.13 / $1,483.79	Professional		$667.31	$987.13	$1,483.79
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.48 / $945.09 / $1,650.55	Professional		$643.48	$945.09	$1,650.55