Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.20 / $4,962.67 / $15,341.00	Facility		$676.20	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $467.21 / $1,295.26	Professional		$306.52	$467.21	$1,295.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.32 / $790.86 / $1,123.61	Professional		$486.32	$790.86	$1,123.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.55 / $769.92 / $990.47	Professional		$597.55	$769.92	$990.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.21 / $769.50 / $1,053.98	Facility		$467.21	$769.50	$1,053.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $494.70 / $667.01 / $1,110.38	Professional		$494.70	$667.01	$1,110.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.54 / $746.50 / $814.72	Facility		$469.54	$746.50	$814.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.21 / $844.04 / $2,327.00	Facility		$467.21	$844.04	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.28 / $790.86 / $1,112.28	Professional		$577.28	$790.86	$1,112.28
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 $587.19 / $787.70 / $1,145.53	Professional		$587.19	$787.70	$1,145.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.96 / $948.64 / $1,286.27	Professional		$583.96	$948.64	$1,286.27