Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.64 / $4,684.68 / $8,728.00	Facility		$763.64	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.54 / $564.15 / $1,847.98	Professional		$394.54	$564.15	$1,847.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.54 / $827.35 / $1,186.16	Professional		$538.54	$827.35	$1,186.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.93 / $816.31 / $1,025.68	Professional		$655.93	$816.31	$1,025.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.05 / $848.26 / $1,132.93	Facility		$453.05	$848.26	$1,132.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $557.73 / $730.78 / $1,255.41	Professional		$557.73	$730.78	$1,255.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $802.38 / $856.26	Facility		$559.00	$802.38	$856.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.05 / $939.14 / $1,738.00	Facility		$453.05	$939.14	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $873.63 / $1,160.11	Professional		$652.79	$873.63	$1,160.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $664.88 / $891.64 / $1,194.80	Professional		$664.88	$891.64	$1,194.80
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 $650.84 / $1,002.05 / $1,341.58	Professional		$650.84	$1,002.05	$1,341.58