Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.39 / $4,962.67 / $15,341.00	Facility		$538.39	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $597.71 / $1,435.30	Professional		$247.96	$597.71	$1,435.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.02 / $710.65 / $1,464.93	Professional		$425.02	$710.65	$1,464.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.96 / $683.13 / $1,260.35	Professional		$464.96	$683.13	$1,260.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $687.05 / $1,251.76	Facility		$319.56	$687.05	$1,251.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $394.42 / $784.05 / $1,410.64	Professional		$394.42	$784.05	$1,410.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.27 / $916.56 / $1,081.38	Facility		$479.27	$916.56	$1,081.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.93 / $961.60 / $2,327.00	Facility		$333.93	$961.60	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $468.79 / $756.00 / $1,467.87	Professional		$468.79	$756.00	$1,467.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.72 / $834.19 / $1,533.06	Professional		$468.72	$834.19	$1,533.06
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 $782.60 / $1,008.35 / $1,721.37	Professional		$782.60	$1,008.35	$1,721.37