Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.57 / $7,920.26 / $20,400.00	Facility		$952.57	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.56 / $500.04 / $2,203.94	Professional		$407.56	$500.04	$2,203.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.23 / $942.17 / $1,276.43	Professional		$545.23	$942.17	$1,276.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.32 / $984.49 / $1,109.11	Professional		$684.32	$984.49	$1,109.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.04 / $833.32 / $1,114.42	Facility		$500.04	$833.32	$1,114.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.91 / $730.17 / $1,368.65	Professional		$625.91	$730.17	$1,368.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $557.66 / $771.17 / $869.66	Facility		$557.66	$771.17	$869.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.04 / $928.00 / $1,107.81	Facility		$500.04	$928.00	$1,107.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.98 / $998.40 / $1,276.43	Professional		$721.98	$998.40	$1,276.43
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 $794.00 / $1,065.01 / $1,361.60	Professional		$794.00	$1,065.01	$1,361.60
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 $630.30 / $880.00 / $1,373.48	Professional		$630.30	$880.00	$1,373.48