Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,047.13 / $7,943.28	Facility		$446.68	$1,047.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $954.99	Professional		$338.84	$457.09	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $1,288.25	Professional		$426.58	$891.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,047.13	Professional		$602.56	$794.33	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $1,000.00	Facility		$407.38	$588.84	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,122.02	Professional		$630.96	$741.31	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $870.96	Facility		$630.96	$812.83	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,000.00	Facility		$389.05	$575.44	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,148.15	Professional		$79.43	$812.83	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,174.90	Professional		$794.33	$933.25	$1,174.90
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 $524.81 / $812.83 / $1,174.90	Professional		$524.81	$812.83	$1,174.90