Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.66 / $2,747.00 / $7,920.26	Facility		$919.66	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.35 / $669.92 / $3,180.63	Professional		$568.35	$669.92	$3,180.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.46 / $1,040.66 / $1,412.72	Professional		$803.46	$1,040.66	$1,412.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $970.71 / $1,105.03	Professional		$688.88	$970.71	$1,105.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.96 / $867.00 / $1,525.47	Facility		$420.96	$867.00	$1,525.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $708.77 / $1,009.47 / $1,408.96	Professional		$708.77	$1,009.47	$1,408.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $727.96 / $887.08 / $1,217.39	Facility		$727.96	$887.08	$1,217.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.96 / $953.70 / $1,525.47	Facility		$420.96	$953.70	$1,525.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $857.40 / $1,112.03 / $1,458.45	Professional		$857.40	$1,112.03	$1,458.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,313.07 / $3,313.07 / $3,313.07	Facility		$3,313.07	$3,313.07	$3,313.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $1,073.68 / $1,414.32	Professional		$816.15	$1,073.68	$1,414.32
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 $940.16 / $1,226.03 / $1,507.88	Professional		$940.16	$1,226.03	$1,507.88