Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $5,649.00 / $15,341.00	Facility		$604.47	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.67 / $358.34 / $1,459.34	Professional		$279.67	$358.34	$1,459.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.97 / $593.50 / $805.39	Professional		$384.97	$593.50	$805.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.04 / $622.84 / $701.25	Professional		$439.04	$622.84	$701.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.34 / $561.38 / $770.43	Facility		$358.34	$561.38	$770.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $510.25 / $874.25	Professional		$439.79	$510.25	$874.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.48 / $531.30 / $548.73	Facility		$391.48	$531.30	$548.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.34 / $670.64 / $3,274.00	Facility		$358.34	$670.64	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $486.06 / $641.14 / $805.39	Professional		$486.06	$641.14	$805.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $500.63 / $671.99 / $859.13	Professional		$500.63	$671.99	$859.13
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 $418.08 / $595.92 / $866.01	Professional		$418.08	$595.92	$866.01