Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.16 / $2,747.00 / $7,920.26	Facility		$955.16	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.09 / $621.57 / $2,463.46	Professional		$572.09	$621.57	$2,463.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.25 / $1,027.58 / $1,377.71	Professional		$634.25	$1,027.58	$1,377.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.86 / $1,017.61 / $1,158.42	Professional		$845.86	$1,017.61	$1,158.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $621.57 / $928.03 / $1,614.19	Facility		$621.57	$928.03	$1,614.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $747.73 / $1,064.95 / $1,486.40	Professional		$747.73	$1,064.95	$1,486.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $678.78 / $898.25 / $1,169.18	Facility		$678.78	$898.25	$1,169.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.57 / $1,125.00 / $1,614.19	Facility		$621.57	$1,125.00	$1,614.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $1,120.80 / $1,439.53	Professional		$831.10	$1,120.80	$1,439.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $859.71 / $1,444.69 / $1,938.52	Facility		$859.71	$1,444.69	$1,938.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $861.66 / $1,133.55 / $1,493.19	Professional		$861.66	$1,133.55	$1,493.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.52 / $1,173.33 / $1,490.52	Professional		$714.52	$1,173.33	$1,490.52