Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.93 / $5,649.00 / $15,341.00	Facility		$783.93	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.73 / $505.59 / $1,870.74	Professional		$366.73	$505.59	$1,870.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.31 / $771.12 / $1,054.18	Professional		$492.31	$771.12	$1,054.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.08 / $827.07 / $933.12	Professional		$577.08	$827.07	$933.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $505.59 / $754.73 / $1,087.02	Facility		$505.59	$754.73	$1,087.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.99 / $623.40 / $1,145.83	Professional		$534.99	$623.40	$1,145.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.59 / $671.62 / $718.24	Facility		$479.59	$671.62	$718.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.59 / $868.18 / $3,274.00	Facility		$505.59	$868.18	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $822.24 / $1,049.06	Professional		$627.36	$822.24	$1,049.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $647.62 / $879.58 / $1,122.29	Professional		$647.62	$879.58	$1,122.29
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 $535.97 / $826.51 / $1,109.85	Professional		$535.97	$826.51	$1,109.85