Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $7,943.28	Facility		$1,122.02	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,412.54	Professional		$446.68	$602.56	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,202.26 / $1,737.80	Professional		$588.84	$1,202.26	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional		$812.83	$1,071.52	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $2,041.74	Facility		$562.34	$870.96	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,548.82	Professional		$776.25	$977.24	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,174.90	Facility		$794.33	$1,023.29	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,258.93	Facility		$562.34	$794.33	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,513.56	Professional		$79.43	$1,071.52	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,584.89	Professional		$1,071.52	$1,258.93	$1,584.89
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 $707.95 / $1,071.52 / $1,621.81	Professional		$707.95	$1,071.52	$1,621.81