Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.50 / $7,920.26 / $20,400.00	Facility		$949.50	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.81 / $612.77 / $2,272.82	Professional		$417.81	$612.77	$2,272.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.16 / $934.59 / $1,273.48	Professional		$598.16	$934.59	$1,273.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.93 / $996.64 / $1,122.65	Professional		$695.93	$996.64	$1,122.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.77 / $916.40 / $1,317.46	Facility		$612.77	$916.40	$1,317.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.48 / $756.60 / $1,382.42	Professional		$636.48	$756.60	$1,382.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.75 / $811.26 / $867.65	Facility		$601.75	$811.26	$867.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.77 / $1,038.33 / $6,246.00	Facility		$612.77	$1,038.33	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.26 / $989.24 / $1,269.24	Professional		$762.26	$989.24	$1,269.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $28,321.84	Facility		$8,763.99	$12,103.13	$28,321.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $784.78 / $1,062.55 / $1,358.46	Professional		$784.78	$1,062.55	$1,358.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $998.44 / $1,357.53	Professional		$645.32	$998.44	$1,357.53