Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.84 / $2,747.00 / $7,920.26	Facility		$995.84	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.99 / $660.28 / $2,609.02	Professional		$521.99	$660.28	$2,609.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.61 / $1,022.02 / $1,467.20	Professional		$679.61	$1,022.02	$1,467.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.99 / $1,095.58 / $1,247.17	Professional		$776.99	$1,095.58	$1,247.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $475.11 / $944.20 / $1,419.60	Facility		$475.11	$944.20	$1,419.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $798.98 / $1,137.94 / $1,588.27	Professional		$798.98	$1,137.94	$1,588.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.51 / $946.52 / $1,018.64	Facility		$697.51	$946.52	$1,018.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.11 / $1,029.71 / $1,419.60	Facility		$475.11	$1,029.71	$1,419.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.07 / $1,186.58 / $1,540.88	Professional		$873.07	$1,186.58	$1,540.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,681.30 / $2,681.30 / $2,681.30	Facility		$2,681.30	$2,681.30	$2,681.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $920.08 / $1,210.41 / $1,594.44	Professional		$920.08	$1,210.41	$1,594.44
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 $788.81 / $1,152.73 / $1,576.78	Professional		$788.81	$1,152.73	$1,576.78