Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.36 / $5,957.50 / $13,320.00	Facility		$757.36	$5,957.50	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $545.08 / $1,761.00	Professional		$450.29	$545.08	$1,761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.08 / $867.96 / $1,135.80	Professional		$542.08	$867.96	$1,135.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.05 / $876.47 / $986.81	Professional		$618.05	$876.47	$986.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.37 / $851.96 / $1,330.75	Facility		$504.37	$851.96	$1,330.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $619.11 / $836.40 / $1,230.72	Professional		$619.11	$836.40	$1,230.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.91 / $752.90 / $965.47	Facility		$549.91	$752.90	$965.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.37 / $980.81 / $5,626.00	Facility		$504.37	$980.81	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $690.79 / $906.53 / $1,135.80	Professional		$690.79	$906.53	$1,135.80
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 $702.98 / $947.68 / $1,211.59	Professional		$702.98	$947.68	$1,211.59
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 $620.95 / $890.50 / $1,216.03	Professional		$620.95	$890.50	$1,216.03