Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.71 / $5,649.00 / $15,341.00	Facility		$655.71	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.72 / $533.10 / $1,442.00	Professional		$387.72	$533.10	$1,442.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.09 / $813.08 / $1,107.29	Professional		$517.09	$813.08	$1,107.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.54 / $868.67 / $978.32	Professional		$606.54	$868.67	$978.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.10 / $823.59 / $1,146.17	Facility		$533.10	$823.59	$1,146.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $551.19 / $679.04 / $1,205.27	Professional		$551.19	$679.04	$1,205.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.84 / $715.92 / $754.42	Facility		$520.84	$715.92	$754.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.10 / $888.41 / $1,146.17	Facility		$533.10	$888.41	$1,146.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.94 / $862.76 / $1,106.10	Professional		$658.94	$862.76	$1,106.10
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 $683.91 / $923.88 / $1,181.17	Professional		$683.91	$923.88	$1,181.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $782.32 / $1,183.07	Professional		$559.00	$782.32	$1,183.07