Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.61 / $4,704.00 / $8,728.00	Facility		$776.61	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.57 / $460.39 / $1,876.96	Professional		$358.57	$460.39	$1,876.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.71 / $764.78 / $1,035.50	Professional		$495.71	$764.78	$1,035.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.02 / $801.02 / $901.86	Professional		$565.02	$801.02	$901.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.39 / $721.60 / $989.84	Facility		$460.39	$721.60	$989.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $566.28 / $665.60 / $1,125.70	Professional		$566.28	$665.60	$1,125.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $502.43 / $682.73 / $705.51	Facility		$502.43	$682.73	$705.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.39 / $861.54 / $2,724.00	Facility		$460.39	$861.54	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.35 / $823.86 / $1,036.40	Professional		$627.35	$823.86	$1,036.40
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 $642.70 / $863.99 / $1,104.59	Professional		$642.70	$863.99	$1,104.59
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 $537.69 / $765.77 / $1,111.77	Professional		$537.69	$765.77	$1,111.77