Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.69 / $2,747.00 / $7,920.26	Facility		$1,219.69	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.96 / $809.84 / $3,204.08	Professional		$551.96	$809.84	$3,204.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $1,217.45 / $1,749.43	Professional		$826.50	$1,217.45	$1,749.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.74 / $1,305.95 / $1,486.65	Professional		$926.74	$1,305.95	$1,486.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.34 / $1,158.07 / $1,741.16	Facility		$566.34	$1,158.07	$1,741.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $953.75 / $1,358.37 / $1,895.94	Professional		$953.75	$1,358.37	$1,895.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $881.79 / $1,128.93 / $1,225.43	Facility		$881.79	$1,128.93	$1,225.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.34 / $1,262.95 / $1,741.16	Facility		$566.34	$1,262.95	$1,741.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,079.58 / $1,414.31 / $1,835.46	Professional		$1,079.58	$1,414.31	$1,835.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,231.44 / $3,231.44 / $3,231.44	Facility		$3,231.44	$3,231.44	$3,231.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,095.99 / $1,441.82 / $1,899.26	Professional		$1,095.99	$1,441.82	$1,899.26
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 $932.79 / $1,308.24 / $1,895.87	Professional		$932.79	$1,308.24	$1,895.87