Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $6,606.93 / $7,943.28	Facility		$676.08	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $537.03 / $741.31	Professional		$223.87	$537.03	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,949.84	Professional		$1,148.15	$1,548.82	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $741.31 / $1,548.82	Facility		$281.84	$741.31	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $537.03 / $1,174.90	Professional		$223.87	$537.03	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,380.38	Facility		$707.95	$1,023.29	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $1,096.48	Facility		$223.87	$707.95	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $1,548.82	Professional		$70.79	$79.43	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,949.84	Professional		$1,000.00	$1,348.96	$1,949.84
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 $831.76 / $1,202.26 / $1,819.70	Professional		$831.76	$1,202.26	$1,819.70