Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.28 / $2,747.00 / $7,920.26	Facility		$956.28	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.49 / $634.07 / $2,506.92	Professional		$475.49	$634.07	$2,506.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $982.85 / $1,411.15	Professional		$652.91	$982.85	$1,411.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.40 / $1,052.43 / $1,198.06	Professional		$746.40	$1,052.43	$1,198.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $906.72 / $1,363.25	Facility		$456.40	$906.72	$1,363.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $767.48 / $1,093.08 / $1,525.66	Professional		$767.48	$1,093.08	$1,525.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $659.83 / $909.24 / $969.49	Facility		$659.83	$909.24	$969.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $988.83 / $1,363.25	Facility		$456.40	$988.83	$1,363.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.77 / $1,140.83 / $1,479.08	Professional		$838.77	$1,140.83	$1,479.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,603.23 / $2,603.23 / $2,603.23	Facility		$2,603.23	$2,603.23	$2,603.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $883.19 / $1,161.86 / $1,530.49	Professional		$883.19	$1,161.86	$1,530.49
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 $744.64 / $1,012.23 / $1,513.54	Professional		$744.64	$1,012.23	$1,513.54