Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.09 / $4,704.00 / $8,728.00	Facility		$902.09	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.20 / $536.19 / $2,160.17	Professional		$412.20	$536.19	$2,160.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.23 / $888.07 / $1,210.54	Professional		$568.23	$888.07	$1,210.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.88 / $949.71 / $1,070.58	Professional		$662.88	$949.71	$1,070.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $536.19 / $836.19 / $1,152.81	Facility		$536.19	$836.19	$1,152.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.86 / $721.35 / $1,316.66	Professional		$604.86	$721.35	$1,316.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $774.52 / $824.77	Facility		$573.65	$774.52	$824.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.19 / $990.19 / $2,724.00	Facility		$536.19	$990.19	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $723.35 / $939.34 / $1,205.58	Professional		$723.35	$939.34	$1,205.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $745.42 / $1,010.04 / $1,291.32	Professional		$745.42	$1,010.04	$1,291.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.88 / $976.81 / $1,289.44	Professional		$624.88	$976.81	$1,289.44