Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.26 / $7,920.26 / $11,029.52	Facility		$818.26	$7,920.26	$11,029.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.57 / $595.80 / $2,036.72	Professional		$495.57	$595.80	$2,036.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.61 / $824.93 / $1,205.84	Professional		$532.61	$824.93	$1,205.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.11 / $827.79 / $942.33	Professional		$591.11	$827.79	$942.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $495.57 / $825.87 / $1,526.85	Facility		$495.57	$825.87	$1,526.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $612.71 / $1,002.62 / $1,218.00	Professional		$612.71	$1,002.62	$1,218.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.98 / $775.88 / $1,193.27	Facility		$628.98	$775.88	$1,193.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.57 / $979.09 / $1,479.00	Facility		$495.57	$979.09	$1,479.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.81 / $922.65 / $1,192.34	Professional		$694.81	$922.65	$1,192.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,192.39 / $3,192.39 / $3,192.39	Facility		$3,192.39	$3,192.39	$3,192.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $701.75 / $923.18 / $1,216.08	Professional		$701.75	$923.18	$1,216.08
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 $645.70 / $985.25 / $1,266.50	Professional		$645.70	$985.25	$1,266.50