Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $7,943.28	Facility		$891.25	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $1,047.13	Professional		$371.54	$489.78	$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 $489.78 / $691.83 / $1,230.27	Facility		$489.78	$691.83	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,230.27	Professional		$691.83	$776.25	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $954.99	Facility		$660.69	$851.14	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,047.13	Facility		$416.87	$630.96	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,230.27	Professional		$79.43	$870.96	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,288.25	Professional		$870.96	$1,023.29	$1,288.25
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 $549.54 / $870.96 / $1,258.93	Professional		$549.54	$870.96	$1,258.93