Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.72 / $2,747.00 / $7,920.26	Facility		$906.72	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.56 / $601.22 / $2,375.51	Professional		$485.56	$601.22	$2,375.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.54 / $930.88 / $1,336.41	Professional		$618.54	$930.88	$1,336.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.77 / $998.01 / $1,136.10	Professional		$707.77	$998.01	$1,136.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.80 / $859.74 / $1,292.61	Facility		$432.80	$859.74	$1,292.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $1,036.83 / $1,447.17	Professional		$728.00	$1,036.83	$1,447.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $635.33 / $862.19 / $930.92	Facility		$635.33	$862.19	$930.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.80 / $937.60 / $1,292.61	Facility		$432.80	$937.60	$1,292.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.64 / $1,080.72 / $1,400.80	Professional		$794.64	$1,080.72	$1,400.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,441.77 / $2,441.77 / $2,441.77	Facility		$2,441.77	$2,441.77	$2,441.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $836.44 / $1,100.38 / $1,449.49	Professional		$836.44	$1,100.38	$1,449.49
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 $705.65 / $1,054.08 / $1,446.92	Professional		$705.65	$1,054.08	$1,446.92