Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.35 / $4,704.00 / $8,728.00	Facility		$708.35	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.27 / $372.01 / $1,660.33	Professional		$313.27	$372.01	$1,660.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.92 / $702.95 / $950.93	Professional		$417.92	$702.95	$950.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.54 / $731.70 / $823.82	Professional		$510.54	$731.70	$823.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.01 / $619.95 / $864.51	Facility		$372.01	$619.95	$864.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $475.32 / $545.69 / $1,022.77	Professional		$475.32	$545.69	$1,022.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.36 / $589.60 / $647.89	Facility		$426.36	$589.60	$647.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.01 / $746.30 / $2,724.00	Facility		$372.01	$746.30	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $744.90 / $950.93	Professional		$546.29	$744.90	$950.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.04 / $793.42 / $1,014.38	Professional		$591.04	$793.42	$1,014.38
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 $489.15 / $745.56 / $1,022.42	Professional		$489.15	$745.56	$1,022.42