Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.86 / $4,704.00 / $8,728.00	Facility		$994.86	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.03 / $643.16 / $2,387.11	Professional		$463.03	$643.16	$2,387.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $980.94 / $1,335.43	Professional		$627.98	$980.94	$1,335.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.83 / $1,042.63 / $1,173.90	Professional		$728.83	$1,042.63	$1,173.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $962.08 / $1,382.79	Facility		$643.16	$962.08	$1,382.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.08 / $836.92 / $1,448.22	Professional		$667.08	$836.92	$1,448.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.27 / $856.93 / $909.86	Facility		$632.27	$856.93	$909.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $1,089.79 / $2,724.00	Facility		$643.16	$1,089.79	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.24 / $1,037.28 / $1,329.91	Professional		$800.24	$1,037.28	$1,329.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,753.18 / $13,050.49	Facility		$5,273.56	$9,753.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $822.29 / $1,114.24 / $1,424.54	Professional		$822.29	$1,114.24	$1,424.54
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 $691.65 / $1,047.01 / $1,422.43	Professional		$691.65	$1,047.01	$1,422.43