Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,623.41 / $17,378.01	Facility		$851.14	$5,623.41	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,258.93	Professional		$467.74	$562.34	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,412.54	Professional		$512.86	$1,000.00	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,148.15	Professional		$660.69	$870.96	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $5,623.41	Facility		$562.34	$870.96	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,230.27	Professional		$616.60	$851.14	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $933.25	Facility		$758.58	$912.01	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $1,148.15	Facility		$489.78	$724.44	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,258.93	Professional		$79.43	$891.25	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $13,803.84	Facility		$8,511.38	$11,748.98	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,258.93	Professional		$870.96	$1,000.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,318.26	Professional		$602.56	$933.25	$1,318.26