Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.25 / $4,962.67 / $15,341.00	Facility		$596.25	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.06 / $478.82 / $1,216.06	Professional		$290.06	$478.82	$1,216.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $718.01 / $1,264.06	Professional		$456.76	$718.01	$1,264.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.45 / $723.01 / $1,093.52	Professional		$511.45	$723.01	$1,093.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.77 / $660.68 / $1,071.41	Facility		$353.77	$660.68	$1,071.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $434.45 / $721.05 / $1,383.12	Professional		$434.45	$721.05	$1,383.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $498.76 / $790.60 / $943.36	Facility		$498.76	$790.60	$943.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.51 / $823.05 / $2,327.00	Facility		$369.51	$823.05	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $516.12 / $791.69 / $1,292.59	Professional		$516.12	$791.69	$1,292.59
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 $519.86 / $855.84 / $1,331.24	Professional		$519.86	$855.84	$1,331.24
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 $677.28 / $876.48 / $1,494.79	Professional		$677.28	$876.48	$1,494.79