Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $7,943.28	Facility		$562.34	$1,047.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,318.26	Professional		$436.52	$562.34	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,288.25	Professional		$588.84	$977.24	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $870.96 / $1,071.52	Professional		$389.05	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $724.44 / $1,479.11	Facility		$562.34	$724.44	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,380.38	Professional		$691.83	$891.25	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $891.25	Facility		$707.95	$812.83	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,122.02	Facility		$489.78	$707.95	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,202.26	Professional		$79.43	$812.83	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,348.96	Professional		$794.33	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,288.25	Professional		$575.44	$954.99	$1,288.25