Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $7,943.28	Facility		$616.60	$1,148.15	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,412.54	Professional		$478.63	$616.60	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,380.38	Professional		$616.60	$1,047.13	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $954.99 / $1,174.90	Professional		$436.52	$954.99	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,318.26	Facility		$616.60	$870.96	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,380.38	Professional		$776.25	$954.99	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $977.24	Facility		$776.25	$891.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $1,202.26	Facility		$549.54	$776.25	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,288.25	Professional		$79.43	$870.96	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,479.11	Professional		$851.14	$1,096.48	$1,479.11
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 $645.65 / $977.24 / $1,380.38	Professional		$645.65	$977.24	$1,380.38