Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.79 / $5,649.00 / $15,341.00	Facility		$936.79	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.66 / $556.41 / $2,239.61	Professional		$428.66	$556.41	$2,239.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.41 / $921.55 / $1,256.76	Professional		$590.41	$921.55	$1,256.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.82 / $983.64 / $1,108.08	Professional		$686.82	$983.64	$1,108.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.41 / $867.72 / $1,196.28	Facility		$556.41	$867.72	$1,196.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $627.80 / $745.55 / $1,364.41	Professional		$627.80	$745.55	$1,364.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $803.03 / $856.26	Facility		$594.00	$803.03	$856.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.41 / $1,025.05 / $3,274.00	Facility		$556.41	$1,025.05	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.37 / $975.91 / $1,252.33	Professional		$752.37	$975.91	$1,252.33
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 $774.33 / $1,048.59 / $1,340.62	Professional		$774.33	$1,048.59	$1,340.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.65 / $1,012.42 / $1,339.45	Professional		$647.65	$1,012.42	$1,339.45