Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $7,943.28	Facility		$758.58	$977.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $954.99	Professional		$302.00	$407.38	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,174.90	Professional		$398.11	$812.83	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $954.99	Professional		$549.54	$724.44	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $588.84 / $1,380.38	Facility		$380.19	$588.84	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,047.13	Professional		$537.03	$660.69	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $794.33	Facility		$562.34	$741.31	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $870.96	Facility		$354.81	$524.81	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $1,023.29	Professional		$79.43	$724.44	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,071.52	Professional		$724.44	$851.14	$1,071.52
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 $478.63 / $724.44 / $1,071.52	Professional		$478.63	$724.44	$1,071.52