Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.45 / $4,704.00 / $8,728.00	Facility		$795.45	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.49 / $512.97 / $1,897.43	Professional		$369.49	$512.97	$1,897.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.57 / $782.38 / $1,067.95	Professional		$499.57	$782.38	$1,067.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.87 / $838.45 / $945.95	Professional		$584.87	$838.45	$945.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.97 / $774.43 / $1,102.89	Facility		$512.97	$774.43	$1,102.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $531.92 / $638.22 / $1,161.74	Professional		$531.92	$638.22	$1,161.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.94 / $680.72 / $727.62	Facility		$501.94	$680.72	$727.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.97 / $867.35 / $2,748.00	Facility		$512.97	$867.35	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.60 / $828.31 / $1,063.33	Professional		$636.60	$828.31	$1,063.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $657.47 / $891.06 / $1,139.21	Professional		$657.47	$891.06	$1,139.21
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 $544.11 / $763.53 / $1,137.29	Professional		$544.11	$763.53	$1,137.29