Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.77 / $2,747.00 / $7,920.26	Facility		$853.77	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.30 / $561.60 / $2,238.31	Professional		$462.30	$561.60	$2,238.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.77 / $937.11 / $1,275.44	Professional		$585.77	$937.11	$1,275.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.64 / $937.69 / $1,067.44	Professional		$669.64	$937.69	$1,067.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $875.82 / $1,278.25	Facility		$561.60	$875.82	$1,278.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $694.37 / $917.41 / $1,380.32	Professional		$694.37	$917.41	$1,380.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $631.79 / $815.75 / $893.11	Facility		$631.79	$815.75	$893.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $947.01 / $1,278.25	Facility		$561.60	$947.01	$1,278.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.06 / $1,016.34 / $1,335.91	Professional		$750.06	$1,016.34	$1,335.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,404.50 / $2,404.50 / $2,404.50	Facility		$2,404.50	$2,404.50	$2,404.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $797.70 / $1,049.40 / $1,382.34	Professional		$797.70	$1,049.40	$1,382.34
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 $660.96 / $954.00 / $1,367.05	Professional		$660.96	$954.00	$1,367.05