Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $7,943.28	Facility		$660.69	$1,202.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,513.56	Professional		$512.86	$660.69	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,479.11	Professional		$676.08	$1,023.29	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $1,258.93	Professional		$467.74	$1,023.29	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $724.44 / $1,737.80	Facility		$660.69	$724.44	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,000.00	Facility		$812.83	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $1,230.27	Facility		$562.34	$691.83	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $954.99 / $1,412.54	Professional		$79.43	$954.99	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,548.82	Professional		$912.01	$1,174.90	$1,548.82
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 $758.58 / $1,122.02 / $1,479.11	Professional		$758.58	$1,122.02	$1,479.11