Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.05 / $2,747.00 / $7,920.26	Facility		$827.05	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $455.03 / $1,324.54	Professional		$375.95	$455.03	$1,324.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.25 / $931.13 / $1,270.53	Professional		$561.25	$931.13	$1,270.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.11 / $955.31 / $1,075.58	Professional		$666.11	$955.31	$1,075.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.15 / $768.66 / $1,161.63	Facility		$447.15	$768.66	$1,161.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $737.75 / $1,365.46	Professional		$639.54	$737.75	$1,365.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $581.88 / $786.66 / $865.64	Facility		$581.88	$786.66	$865.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.15 / $961.37 / $1,101.80	Facility		$447.15	$961.37	$1,101.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $719.50 / $986.70 / $1,270.53	Professional		$719.50	$986.70	$1,270.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,125.91 / $2,125.91 / $2,125.91	Facility		$2,125.91	$2,125.91	$2,125.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $789.70 / $1,060.08 / $1,355.31	Professional		$789.70	$1,060.08	$1,355.31
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 $660.43 / $1,013.27 / $1,353.33	Professional		$660.43	$1,013.27	$1,353.33