Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.82 / $4,684.68 / $8,728.00	Facility		$749.82	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.59 / $554.65 / $1,813.12	Professional		$371.59	$554.65	$1,813.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.52 / $811.54 / $1,168.91	Professional		$528.52	$811.54	$1,168.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.49 / $802.13 / $1,009.34	Professional		$643.49	$802.13	$1,009.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.98 / $831.87 / $1,189.43	Facility		$444.98	$831.87	$1,189.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.05 / $718.90 / $1,233.81	Professional		$547.05	$718.90	$1,233.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $507.36 / $789.26 / $846.60	Facility		$507.36	$789.26	$846.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.98 / $922.48 / $1,738.00	Facility		$444.98	$922.48	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.58 / $857.83 / $1,141.72	Professional		$638.58	$857.83	$1,141.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,740.27 / $29,241.94 / $36,485.06	Facility		$22,740.27	$29,241.94	$36,485.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $653.23 / $874.46 / $1,175.84	Professional		$653.23	$874.46	$1,175.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.16 / $892.10 / $1,320.30	Professional		$628.16	$892.10	$1,320.30