Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.38 / $2,747.00 / $7,920.26	Facility		$975.38	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.78 / $646.34 / $2,612.36	Professional		$503.78	$646.34	$2,612.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.78 / $1,072.85 / $1,434.75	Professional		$680.78	$1,072.85	$1,434.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.26 / $1,071.32 / $1,219.56	Professional		$760.26	$1,071.32	$1,219.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $646.34 / $1,007.97 / $1,428.20	Facility		$646.34	$1,007.97	$1,428.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $782.43 / $1,001.88 / $1,555.38	Professional		$782.43	$1,001.88	$1,555.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $726.75 / $926.14 / $1,007.01	Facility		$726.75	$926.14	$1,007.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.34 / $1,077.13 / $1,389.63	Facility		$646.34	$1,077.13	$1,389.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $875.16 / $1,147.38 / $1,506.89	Professional		$875.16	$1,147.38	$1,506.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,661.78 / $2,661.78 / $2,661.78	Facility		$2,661.78	$2,661.78	$2,661.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $899.79 / $1,183.71 / $1,559.27	Professional		$899.79	$1,183.71	$1,559.27
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 $773.24 / $1,082.16 / $1,556.48	Professional		$773.24	$1,082.16	$1,556.48