Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.16 / $5,649.00 / $15,341.00	Facility		$874.16	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.01 / $518.97 / $2,091.80	Professional		$400.01	$518.97	$2,091.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.91 / $862.85 / $1,172.19	Professional		$549.91	$862.85	$1,172.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.32 / $920.33 / $1,037.18	Professional		$642.32	$920.33	$1,037.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $518.97 / $840.17 / $1,132.01	Facility		$518.97	$840.17	$1,132.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.77 / $708.04 / $1,276.34	Professional		$625.77	$708.04	$1,276.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.71 / $765.14 / $800.65	Facility		$571.71	$765.14	$800.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.97 / $986.87 / $3,274.00	Facility		$518.97	$986.87	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $700.75 / $926.48 / $1,168.77	Professional		$700.75	$926.48	$1,168.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $722.67 / $978.04 / $1,250.41	Professional		$722.67	$978.04	$1,250.41
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 $605.26 / $898.04 / $1,250.07	Professional		$605.26	$898.04	$1,250.07