Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.68 / $5,649.00 / $15,341.00	Facility		$848.68	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $410.97 / $1,982.14	Professional		$354.55	$410.97	$1,982.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.22 / $857.53 / $1,170.22	Professional		$513.22	$857.53	$1,170.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.92 / $883.71 / $994.97	Professional		$615.92	$883.71	$994.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.97 / $692.76 / $940.41	Facility		$410.97	$692.76	$940.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $577.38 / $673.61 / $1,262.54	Professional		$577.38	$673.61	$1,262.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $490.49 / $679.89 / $797.30	Facility		$490.49	$679.89	$797.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.97 / $825.39 / $1,013.42	Facility		$410.97	$825.39	$1,013.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.34 / $908.70 / $1,164.53	Professional		$641.34	$908.70	$1,164.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,776.30 / $1,776.30 / $1,776.30	Facility		$1,776.30	$1,776.30	$1,776.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $726.35 / $976.40 / $1,248.31	Professional		$726.35	$976.40	$1,248.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.13 / $916.38 / $1,310.92	Professional		$601.13	$916.38	$1,310.92