Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.39 / $2,747.00 / $7,920.26	Facility		$896.39	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.74 / $610.36 / $2,344.92	Professional		$410.74	$610.36	$2,344.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.48 / $1,016.52 / $1,405.25	Professional		$636.48	$1,016.52	$1,405.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.93 / $1,080.43 / $1,216.45	Professional		$743.93	$1,080.43	$1,216.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.41 / $913.69 / $1,312.27	Facility		$590.41	$913.69	$1,312.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $710.94 / $816.27 / $1,529.92	Professional		$710.94	$816.27	$1,529.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.97 / $865.64 / $957.43	Facility		$625.97	$865.64	$957.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.36 / $1,017.16 / $1,284.73	Facility		$610.36	$1,017.16	$1,284.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.68 / $1,087.88 / $1,403.52	Professional		$808.68	$1,087.88	$1,403.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,365.44 / $2,365.44 / $2,365.44	Facility		$2,365.44	$2,365.44	$2,365.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $868.42 / $1,172.49 / $1,499.02	Professional		$868.42	$1,172.49	$1,499.02
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 $689.00 / $1,000.10 / $1,502.23	Professional		$689.00	$1,000.10	$1,502.23