Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.93 / $2,747.00 / $7,920.26	Facility		$806.93	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.63 / $535.02 / $2,112.86	Professional		$384.63	$535.02	$2,112.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.42 / $831.35 / $1,197.76	Professional		$547.42	$831.35	$1,197.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.25 / $888.53 / $1,011.47	Professional		$630.25	$888.53	$1,011.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.02 / $794.24 / $1,225.49	Facility		$535.02	$794.24	$1,225.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.60 / $853.05 / $1,293.30	Professional		$650.60	$853.05	$1,293.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $589.63 / $767.76 / $868.32	Facility		$589.63	$767.76	$868.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.02 / $869.60 / $1,225.49	Facility		$535.02	$869.60	$1,225.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.11 / $936.90 / $1,251.49	Professional		$703.11	$936.90	$1,251.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.48 / $2,168.48 / $2,168.48	Facility		$2,168.48	$2,168.48	$2,168.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $747.88 / $983.87 / $1,296.01	Professional		$747.88	$983.87	$1,296.01
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 $628.16 / $939.07 / $1,281.67	Professional		$628.16	$939.07	$1,281.67