Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,380.38 / $7,943.28	Facility		$741.31	$1,380.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,737.80	Professional		$537.03	$724.44	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,659.59	Professional		$758.58	$1,174.90	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,122.02 / $1,412.54	Professional		$489.78	$1,122.02	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $812.83 / $7,943.28	Facility		$741.31	$812.83	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,862.09	Professional		$831.76	$1,174.90	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,148.15	Facility		$794.33	$1,071.52	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,380.38	Facility		$575.44	$776.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,659.59	Professional		$79.43	$1,148.15	$1,659.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,819.70	Professional		$1,096.48	$1,380.38	$1,819.70
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 $812.83 / $1,174.90 / $1,659.59	Professional		$812.83	$1,174.90	$1,659.59