Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.32 / $7,920.26 / $20,400.00	Facility		$756.32	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.08 / $407.17 / $1,248.00	Professional		$337.08	$407.17	$1,248.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.69 / $747.85 / $1,011.90	Professional		$421.69	$747.85	$1,011.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.38 / $784.16 / $886.05	Professional		$544.38	$784.16	$886.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.67 / $661.05 / $866.36	Facility		$396.67	$661.05	$866.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $497.33 / $580.21 / $1,087.48	Professional		$497.33	$580.21	$1,087.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.18 / $604.34 / $689.43	Facility		$432.18	$604.34	$689.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.67 / $756.54 / $5,626.00	Facility		$396.67	$756.54	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.38 / $792.48 / $1,011.90	Professional		$556.38	$792.48	$1,011.90
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 $629.79 / $844.29 / $1,079.42	Professional		$629.79	$844.29	$1,079.42
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 $492.44 / $677.85 / $1,089.42	Professional		$492.44	$677.85	$1,089.42