Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.16 / $4,684.68 / $8,728.00	Facility		$734.16	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.58 / $483.00 / $1,263.56	Professional		$290.58	$483.00	$1,263.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.88 / $871.27 / $1,289.64	Professional		$500.88	$871.27	$1,289.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.01 / $870.97 / $1,150.01	Professional		$643.01	$870.97	$1,150.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.26 / $783.52 / $1,190.15	Facility		$465.26	$783.52	$1,190.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $527.85 / $751.79 / $1,391.97	Professional		$527.85	$751.79	$1,391.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.08 / $856.74 / $949.39	Facility		$525.08	$856.74	$949.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $914.27 / $1,738.00	Facility		$483.00	$914.27	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.14 / $895.86 / $1,289.64	Professional		$616.14	$895.86	$1,289.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $639.63 / $920.60 / $1,347.34	Professional		$639.63	$920.60	$1,347.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.48 / $994.08 / $1,512.88	Professional		$697.48	$994.08	$1,512.88