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 / $410.18 / $1,570.49	Professional		$319.36	$410.18	$1,570.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.93 / $724.47 / $1,057.63	Professional		$462.93	$724.47	$1,057.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $708.29 / $893.98	Professional		$563.79	$708.29	$893.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.36 / $647.37 / $929.90	Facility		$319.36	$647.37	$929.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $494.75 / $645.76 / $1,055.48	Professional		$494.75	$645.76	$1,055.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.03 / $686.12 / $775.19	Facility		$449.03	$686.12	$775.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.36 / $692.75 / $986.82	Facility		$319.36	$692.75	$986.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.04 / $779.30 / $1,058.00	Professional		$572.04	$779.30	$1,058.00
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 / $795.43 / $1,089.63	Professional		$596.26	$795.43	$1,089.63
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 $580.84 / $824.90 / $1,223.47	Professional		$580.84	$824.90	$1,223.47