Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.73 / $7,920.26 / $20,400.00	Facility		$745.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $394.60 / $1,192.95	Professional		$325.80	$394.60	$1,192.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.51 / $738.28 / $997.15	Professional		$415.51	$738.28	$997.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.91 / $773.51 / $874.11	Professional		$536.91	$773.51	$874.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.32 / $645.74 / $852.48	Facility		$391.32	$645.74	$852.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $490.53 / $556.32 / $1,072.63	Professional		$490.53	$556.32	$1,072.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.45 / $590.94 / $679.38	Facility		$423.45	$590.94	$679.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.32 / $742.05 / $5,626.00	Facility		$391.32	$742.05	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.82 / $782.34 / $997.15	Professional		$545.82	$782.34	$997.15
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 $620.57 / $831.99 / $1,063.69	Professional		$620.57	$831.99	$1,063.69
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 $494.50 / $812.83 / $1,073.47	Professional		$494.50	$812.83	$1,073.47