Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.30 / $2,747.00 / $7,920.26	Facility		$930.30	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.52 / $511.66 / $1,467.20	Professional		$435.52	$511.66	$1,467.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.79 / $1,045.07 / $1,420.00	Professional		$653.79	$1,045.07	$1,420.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.15 / $1,048.09 / $1,180.05	Professional		$739.15	$1,048.09	$1,180.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.31 / $916.92 / $1,365.26	Facility		$497.31	$916.92	$1,365.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $880.64 / $1,528.84	Professional		$745.62	$880.64	$1,528.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $664.81 / $900.43 / $967.48	Facility		$664.81	$900.43	$967.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.31 / $1,019.48 / $1,233.08	Facility		$497.31	$1,019.48	$1,233.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $833.15 / $1,109.16 / $1,420.00	Professional		$833.15	$1,109.16	$1,420.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,482.56 / $2,482.56 / $2,482.56	Facility		$2,482.56	$2,482.56	$2,482.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $883.79 / $1,184.80 / $1,514.76	Professional		$883.79	$1,184.80	$1,514.76
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 $733.20 / $1,074.64 / $1,528.83	Professional		$733.20	$1,074.64	$1,528.83