Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.75 / $1,036.36 / $1,369.48	Facility		$847.75	$1,036.36	$1,369.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.62 / $702.47 / $1,975.00	Professional		$316.62	$702.47	$1,975.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.48 / $1,005.75 / $1,465.68	Professional		$548.48	$1,005.75	$1,465.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.31 / $1,046.80 / $1,321.38	Professional		$792.31	$1,046.80	$1,321.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.54 / $799.02 / $1,210.60	Facility		$453.54	$799.02	$1,210.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $613.20 / $903.82 / $1,669.95	Professional		$613.20	$903.82	$1,669.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.50 / $885.07 / $1,130.16	Facility		$543.50	$885.07	$1,130.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.54 / $850.00 / $1,447.61	Facility		$453.54	$850.00	$1,447.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $704.55 / $1,087.72 / $1,465.68	Professional		$704.55	$1,087.72	$1,465.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $840.33 / $1,122.90 / $1,597.49	Professional		$840.33	$1,122.90	$1,597.49
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 $723.26 / $1,103.23 / $1,793.74	Professional		$723.26	$1,103.23	$1,793.74