Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.10 / $2,747.00 / $7,920.26	Facility		$784.10	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.41 / $515.77 / $2,054.15	Professional		$405.41	$515.77	$2,054.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.05 / $859.91 / $1,172.19	Professional		$537.05	$859.91	$1,172.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.86 / $862.49 / $981.83	Professional		$615.86	$862.49	$981.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $515.77 / $804.34 / $1,172.74	Facility		$515.77	$804.34	$1,172.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $638.86 / $827.46 / $1,269.98	Professional		$638.86	$827.46	$1,269.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $580.42 / $750.24 / $817.40	Facility		$580.42	$750.24	$817.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.77 / $859.53 / $1,108.91	Facility		$515.77	$859.53	$1,108.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.79 / $934.44 / $1,225.70	Professional		$687.79	$934.44	$1,225.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,166.69 / $2,166.69 / $2,166.69	Facility		$2,166.69	$2,166.69	$2,166.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $731.89 / $962.83 / $1,268.30	Professional		$731.89	$962.83	$1,268.30
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 $618.29 / $919.04 / $1,266.05	Professional		$618.29	$919.04	$1,266.05