Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.58 / $4,704.00 / $8,728.00	Facility		$797.58	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.22 / $416.05 / $1,781.20	Professional		$319.22	$416.05	$1,781.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.43 / $788.34 / $1,065.98	Professional		$421.43	$788.34	$1,065.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.65 / $824.44 / $935.95	Professional		$571.65	$824.44	$935.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.05 / $654.79 / $894.51	Facility		$416.05	$654.79	$894.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $477.87 / $590.04 / $1,138.42	Professional		$477.87	$590.04	$1,138.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.77 / $599.65 / $726.28	Facility		$418.77	$599.65	$726.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.05 / $769.25 / $2,724.00	Facility		$416.05	$769.25	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.44 / $835.38 / $1,065.98	Professional		$566.44	$835.38	$1,065.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $663.01 / $889.42 / $1,137.11	Professional		$663.01	$889.42	$1,137.11
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 $493.68 / $789.89 / $1,146.86	Professional		$493.68	$789.89	$1,146.86