Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.89 / $4,704.00 / $8,728.00	Facility		$802.89	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.35 / $476.79 / $1,940.95	Professional		$370.35	$476.79	$1,940.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $791.28 / $1,072.86	Professional		$512.91	$791.28	$1,072.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.71 / $828.87 / $933.23	Professional		$584.71	$828.87	$933.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $476.79 / $747.72 / $1,025.09	Facility		$476.79	$747.72	$1,025.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.67 / $662.78 / $1,164.92	Professional		$544.67	$662.78	$1,164.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.87 / $706.18 / $731.00	Facility		$519.87	$706.18	$731.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.79 / $891.42 / $2,724.00	Facility		$476.79	$891.42	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.09 / $852.16 / $1,072.86	Professional		$649.09	$852.16	$1,072.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,714.78 / $10,378.18 / $13,050.49	Facility		$5,714.78	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $664.23 / $895.17 / $1,144.46	Professional		$664.23	$895.17	$1,144.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.57 / $885.67 / $1,149.01	Professional		$566.57	$885.67	$1,149.01