Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.59 / $2,747.00 / $7,920.26	Facility		$814.59	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.59 / $442.17 / $2,116.55	Professional		$368.59	$442.17	$2,116.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.97 / $918.62 / $1,247.91	Professional		$542.97	$918.62	$1,247.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.08 / $944.33 / $1,063.22	Professional		$656.08	$944.33	$1,063.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.17 / $704.58 / $974.10	Facility		$442.17	$704.58	$974.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.79 / $715.51 / $1,341.06	Professional		$572.79	$715.51	$1,341.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $514.04 / $725.61 / $850.23	Facility		$514.04	$725.61	$850.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.17 / $825.72 / $1,082.06	Facility		$442.17	$825.72	$1,082.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $681.66 / $973.44 / $1,247.91	Professional		$681.66	$973.44	$1,247.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,040.72 / $2,040.72 / $2,040.72	Facility		$2,040.72	$2,040.72	$2,040.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $775.55 / $1,041.21 / $1,331.18	Professional		$775.55	$1,041.21	$1,331.18
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 $620.36 / $881.60 / $1,341.58	Professional		$620.36	$881.60	$1,341.58