Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $7,943.28	Facility		$616.60	$1,122.02	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,230.27	Professional		$446.68	$645.65	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,380.38	Professional		$630.96	$1,071.52	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,148.15	Professional		$741.31	$977.24	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,659.59	Facility		$467.74	$794.33	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,479.11	Professional		$776.25	$1,071.52	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $1,122.02	Facility		$776.25	$891.25	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,479.11	Facility		$467.74	$794.33	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,348.96	Professional		$79.43	$891.25	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,905.46	Facility		$691.83	$1,258.93	$1,905.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,479.11	Professional		$870.96	$1,096.48	$1,479.11
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 $691.83 / $1,174.90 / $1,479.11	Professional		$691.83	$1,174.90	$1,479.11