Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.83 / $4,684.68 / $8,728.00	Facility		$657.83	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.36 / $430.23 / $1,570.49	Professional		$319.36	$430.23	$1,570.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.93 / $752.13 / $1,099.75	Professional		$462.93	$752.13	$1,099.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $735.84 / $930.58	Professional		$563.79	$735.84	$930.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.36 / $658.30 / $969.85	Facility		$319.36	$658.30	$969.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $494.75 / $668.85 / $1,094.81	Professional		$494.75	$668.85	$1,094.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.42 / $715.35 / $806.01	Facility		$483.42	$715.35	$806.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.36 / $716.98 / $1,027.15	Facility		$319.36	$716.98	$1,027.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $576.84 / $790.31 / $1,101.24	Professional		$576.84	$790.31	$1,101.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $997.66 / $1,243.51	Facility		$763.05	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $596.26 / $796.83 / $1,134.16	Professional		$596.26	$796.83	$1,134.16
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.86 / $891.28 / $1,273.49	Professional		$615.86	$891.28	$1,273.49