Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.59 / $2,747.00 / $7,920.26	Facility		$884.59	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.07 / $590.62 / $2,322.02	Professional		$426.07	$590.62	$2,322.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.05 / $1,002.57 / $1,380.66	Professional		$672.05	$1,002.57	$1,380.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.46 / $1,015.38 / $1,143.21	Professional		$712.46	$1,015.38	$1,143.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.62 / $834.62 / $1,269.83	Facility		$590.62	$834.62	$1,269.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.40 / $805.04 / $1,494.89	Professional		$629.40	$805.04	$1,494.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $545.11 / $771.27 / $940.68	Facility		$545.11	$771.27	$940.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.62 / $921.07 / $1,199.61	Facility		$590.62	$921.07	$1,199.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.50 / $1,077.18 / $1,380.66	Professional		$742.50	$1,077.18	$1,380.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,996.36 / $1,996.36 / $1,996.36	Facility		$1,996.36	$1,996.36	$1,996.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $859.82 / $1,151.98 / $1,472.80	Professional		$859.82	$1,151.98	$1,472.80
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 $691.55 / $946.87 / $1,487.32	Professional		$691.55	$946.87	$1,487.32