Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.88 / $2,747.00 / $7,920.26	Facility		$917.88	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.71 / $648.65 / $2,402.80	Professional		$475.71	$648.65	$2,402.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.22 / $941.94 / $1,352.15	Professional		$626.22	$941.94	$1,352.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.86 / $1,010.83 / $1,150.70	Professional		$716.86	$1,010.83	$1,150.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.36 / $870.30 / $1,308.49	Facility		$438.36	$870.30	$1,308.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $737.60 / $1,050.52 / $1,466.26	Professional		$737.60	$1,050.52	$1,466.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.28 / $873.26 / $939.08	Facility		$611.28	$873.26	$939.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.36 / $949.11 / $1,308.49	Facility		$438.36	$949.11	$1,308.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $1,093.35 / $1,418.31	Professional		$804.46	$1,093.35	$1,418.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,409.80 / $2,409.80 / $2,409.80	Facility		$2,409.80	$2,409.80	$2,409.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $846.90 / $1,114.13 / $1,467.61	Professional		$846.90	$1,114.13	$1,467.61
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 $713.44 / $1,081.41 / $1,451.37	Professional		$713.44	$1,081.41	$1,451.37