Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.91 / $4,704.00 / $8,728.00	Facility		$930.91	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.63 / $600.76 / $2,226.61	Professional		$434.63	$600.76	$2,226.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.19 / $916.26 / $1,248.89	Professional		$586.19	$916.26	$1,248.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.62 / $977.67 / $1,101.54	Professional		$682.62	$977.67	$1,101.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.76 / $898.28 / $1,291.63	Facility		$600.76	$898.28	$1,291.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $623.73 / $739.70 / $1,355.92	Professional		$623.73	$739.70	$1,355.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $589.64 / $799.10 / $850.90	Facility		$589.64	$799.10	$850.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.76 / $994.92 / $1,291.63	Facility		$600.76	$994.92	$1,291.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $746.99 / $969.91 / $1,244.36	Professional		$746.99	$969.91	$1,244.36
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 $769.41 / $1,042.03 / $1,332.23	Professional		$769.41	$1,042.03	$1,332.23
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 $643.95 / $897.28 / $1,318.56	Professional		$643.95	$897.28	$1,318.56