Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,174.90 / $7,943.28	Facility		$630.96	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,445.44	Professional		$489.78	$630.96	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,412.54	Professional		$645.65	$977.24	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $977.24 / $1,202.26	Professional		$446.68	$977.24	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $691.83 / $1,659.59	Facility		$630.96	$691.83	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,513.56	Professional		$741.31	$1,047.13	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $954.99	Facility		$794.33	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $1,148.15	Facility		$537.03	$660.69	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $1,348.96	Professional		$79.43	$912.01	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,513.56	Professional		$891.25	$1,122.02	$1,513.56
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 $724.44 / $1,047.13 / $1,412.54	Professional		$724.44	$1,047.13	$1,412.54