Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.63 / $2,747.00 / $7,920.26	Facility		$668.63	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.70 / $468.86 / $1,768.05	Professional		$430.70	$468.86	$1,768.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.43 / $707.83 / $1,033.64	Professional		$464.43	$707.83	$1,033.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.11 / $710.14 / $808.40	Professional		$507.11	$710.14	$808.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.16 / $735.19 / $1,214.19	Facility		$441.16	$735.19	$1,214.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.71 / $860.25 / $1,045.04	Professional		$525.71	$860.25	$1,045.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.66 / $669.80 / $960.11	Facility		$539.66	$669.80	$960.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.16 / $840.08 / $1,193.40	Facility		$441.16	$840.08	$1,193.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.85 / $790.96 / $1,012.09	Professional		$600.85	$790.96	$1,012.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,578.41 / $2,578.41 / $2,578.41	Facility		$2,578.41	$2,578.41	$2,578.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.11 / $792.11 / $1,043.42	Professional		$602.11	$792.11	$1,043.42
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 $549.72 / $845.38 / $1,083.28	Professional		$549.72	$845.38	$1,083.28