Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.52 / $4,962.67 / $15,341.00	Facility		$845.52	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.42 / $609.34 / $1,469.79	Professional		$466.42	$609.34	$1,469.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.49 / $1,009.22 / $1,370.83	Professional		$654.49	$1,009.22	$1,370.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.24 / $1,057.16 / $1,190.26	Professional		$746.24	$1,057.16	$1,190.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.34 / $954.58 / $1,310.08	Facility		$609.34	$954.58	$1,310.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.64 / $852.80 / $1,487.48	Professional		$695.64	$852.80	$1,487.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $664.25 / $908.48 / $936.29	Facility		$664.25	$908.48	$936.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.34 / $1,137.93 / $3,274.00	Facility		$609.34	$1,137.93	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.81 / $1,088.24 / $1,370.83	Professional		$827.81	$1,088.24	$1,370.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,525.75 / $13,806.81	Facility		$8,508.06	$11,525.75	$13,806.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $848.74 / $1,143.78 / $1,462.31	Professional		$848.74	$1,143.78	$1,462.31
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 $723.98 / $1,036.63 / $1,468.17	Professional		$723.98	$1,036.63	$1,468.17