Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.83 / $5,649.00 / $15,341.00	Facility		$822.83	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $433.21 / $1,935.18	Professional		$321.72	$433.21	$1,935.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.64 / $813.36 / $1,104.33	Professional		$490.64	$813.36	$1,104.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.05 / $850.82 / $957.94	Professional		$593.05	$850.82	$957.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.21 / $721.94 / $1,014.46	Facility		$433.21	$721.94	$1,014.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $636.90 / $1,188.28	Professional		$558.45	$636.90	$1,188.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.68 / $687.84 / $752.41	Facility		$469.68	$687.84	$752.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.21 / $801.13 / $957.64	Facility		$433.21	$801.13	$957.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $634.90 / $861.90 / $1,104.33	Professional		$634.90	$861.90	$1,104.33
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 $686.38 / $921.42 / $1,178.03	Professional		$686.38	$921.42	$1,178.03
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 $543.66 / $794.34 / $1,187.31	Professional		$543.66	$794.34	$1,187.31