Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,148.15 / $7,943.28	Facility		$501.19	$1,148.15	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $1,047.13	Professional		$380.19	$512.86	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $977.24 / $1,412.54	Professional		$478.63	$977.24	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,148.15	Professional		$660.69	$851.14	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,148.15	Facility		$501.19	$707.95	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,258.93	Professional		$707.95	$870.96	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $977.24	Facility		$724.44	$891.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $1,148.15	Facility		$478.63	$660.69	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,318.26	Professional		$79.43	$933.25	$1,318.26
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 $912.01 / $1,047.13 / $1,318.26	Professional		$912.01	$1,047.13	$1,318.26
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 $616.60 / $954.99 / $1,348.96	Professional		$616.60	$954.99	$1,348.96