Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,023.29 / $7,943.28	Facility		$549.54	$1,023.29	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,288.25	Professional		$398.11	$549.54	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,230.27	Professional		$562.34	$870.96	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $1,047.13	Professional		$363.08	$831.76	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $13,489.63	Facility		$549.54	$794.33	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,380.38	Professional		$616.60	$870.96	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $851.14	Facility		$588.84	$794.33	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $1,023.29	Facility		$416.87	$575.44	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,230.27	Professional		$79.43	$851.14	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,348.96	Professional		$812.83	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,230.27	Professional		$602.56	$870.96	$1,230.27