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 / $442.81 / $674.99	Professional		$224.97	$442.81	$674.99
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 $1,313.08 / $1,565.50 / $1,938.50	Professional		$1,313.08	$1,565.50	$1,938.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $674.99 / $695.24 / $1,354.70	Facility		$674.99	$695.24	$1,354.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $746.79 / $1,057.95 / $1,374.63	Facility		$746.79	$1,057.95	$1,374.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.99 / $674.99 / $1,354.32	Facility		$674.99	$674.99	$1,354.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.02 / $795.02 / $1,551.73	Professional		$795.02	$795.02	$1,551.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,125.83 / $1,644.43 / $2,242.44	Professional		$1,125.83	$1,644.43	$2,242.44
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 $895.05 / $1,237.27 / $2,217.63	Professional		$895.05	$1,237.27	$2,217.63