Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.97 / $5,649.00 / $15,341.00	Facility		$700.97	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.32 / $415.89 / $1,691.16	Professional		$323.32	$415.89	$1,691.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.31 / $690.57 / $936.18	Professional		$447.31	$690.57	$936.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.31 / $723.91 / $815.04	Professional		$510.31	$723.91	$815.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.89 / $655.09 / $894.16	Facility		$415.89	$655.09	$894.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $480.42 / $576.60 / $1,016.41	Professional		$480.42	$576.60	$1,016.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $453.49 / $615.73 / $637.84	Facility		$453.49	$615.73	$637.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.89 / $777.71 / $3,274.00	Facility		$415.89	$777.71	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $743.01 / $936.18	Professional		$565.16	$743.01	$936.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $579.98 / $781.12 / $998.65	Professional		$579.98	$781.12	$998.65
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 $474.30 / $680.36 / $993.93	Professional		$474.30	$680.36	$993.93