Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,000.00 / $7,943.28	Facility		$549.54	$1,000.00	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,258.93	Professional		$426.58	$549.54	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,202.26	Professional		$562.34	$851.14	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $851.14 / $1,023.29	Professional		$380.19	$851.14	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $602.56 / $1,412.54	Facility		$549.54	$602.56	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,318.26	Professional		$645.65	$891.25	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $776.25 / $831.76	Facility		$676.08	$776.25	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,023.29	Facility		$467.74	$562.34	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,148.15	Professional		$79.43	$794.33	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,288.25	Professional		$758.58	$977.24	$1,288.25
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 $616.60 / $912.01 / $1,202.26	Professional		$616.60	$912.01	$1,202.26