Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $247.46 / $1,301.09	Professional		$224.97	$247.46	$1,301.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,660.63 / $3,099.05 / $3,717.46	Professional		$2,660.63	$3,099.05	$3,717.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,233.74 / $1,366.16 / $3,252.52	Facility		$1,233.74	$1,366.16	$3,252.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.03 / $1,151.03 / $1,151.03	Professional		$1,151.03	$1,151.03	$1,151.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,209.45 / $1,718.89 / $2,455.55	Facility		$1,209.45	$1,718.89	$2,455.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,033.84 / $1,301.09 / $2,797.37	Facility		$1,033.84	$1,301.09	$2,797.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,532.05 / $1,532.05 / $2,975.87	Professional		$1,532.05	$1,532.05	$2,975.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,067.57 / $2,640.37 / $3,663.04	Professional		$2,067.57	$2,640.37	$3,663.04
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 $1,623.84 / $2,368.10 / $3,648.23	Professional		$1,623.84	$2,368.10	$3,648.23