Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.20 / $4,283.46 / $8,728.00	Facility		$737.20	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.09 / $599.35 / $2,416.00	Professional		$461.09	$599.35	$2,416.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.41 / $992.68 / $1,353.13	Professional		$636.41	$992.68	$1,353.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.61 / $1,057.32 / $1,190.44	Professional		$738.61	$1,057.32	$1,190.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.35 / $934.69 / $1,288.59	Facility		$599.35	$934.69	$1,288.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.24 / $806.00 / $1,467.31	Professional		$675.24	$806.00	$1,467.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.51 / $867.22 / $921.92	Facility		$640.51	$867.22	$921.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.35 / $1,104.73 / $2,724.00	Facility		$599.35	$1,104.73	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.90 / $1,050.07 / $1,346.82	Professional		$810.90	$1,050.07	$1,346.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $832.75 / $1,129.01 / $1,443.09	Professional		$832.75	$1,129.01	$1,443.09
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 $699.60 / $973.20 / $1,502.93	Professional		$699.60	$973.20	$1,502.93