Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.01 / $4,704.00 / $8,728.00	Facility		$772.01	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $458.09 / $1,867.60	Professional		$356.64	$458.09	$1,867.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $760.36 / $1,030.58	Professional		$493.30	$760.36	$1,030.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.38 / $795.85 / $896.05	Professional		$561.38	$795.85	$896.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $458.09 / $718.78 / $984.89	Facility		$458.09	$718.78	$984.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $523.26 / $654.54 / $1,118.25	Professional		$523.26	$654.54	$1,118.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.52 / $678.04 / $702.44	Facility		$499.52	$678.04	$702.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.09 / $856.56 / $2,724.00	Facility		$458.09	$856.56	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.73 / $818.20 / $1,030.58	Professional		$623.73	$818.20	$1,030.58
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 $639.02 / $859.88 / $1,099.34	Professional		$639.02	$859.88	$1,099.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.37 / $760.53 / $1,105.40	Professional		$545.37	$760.53	$1,105.40