Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.18 / $5,649.00 / $15,341.00	Facility		$748.18	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.43 / $393.20 / $1,071.86	Professional		$291.43	$393.20	$1,071.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.05 / $741.96 / $1,004.03	Professional		$444.05	$741.96	$1,004.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.99 / $774.01 / $871.46	Professional		$538.99	$774.01	$871.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $393.20 / $655.27 / $914.49	Facility		$393.20	$655.27	$914.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $588.25 / $1,078.99	Professional		$537.66	$588.25	$1,078.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.68 / $624.89 / $684.07	Facility		$413.68	$624.89	$684.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.20 / $730.80 / $870.97	Facility		$393.20	$730.80	$870.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $786.24 / $1,005.48	Professional		$577.04	$786.24	$1,005.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,653.88 / $1,653.88 / $1,653.88	Facility		$1,653.88	$1,653.88	$1,653.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $624.25 / $837.73 / $1,071.03	Professional		$624.25	$837.73	$1,071.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.14 / $682.55 / $1,079.86	Professional		$492.14	$682.55	$1,079.86