Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,548.82	Facility		$812.83	$1,000.00	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $1,412.54	Professional		$30.20	$47.86	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,288.25	Professional		$758.58	$933.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,348.96	Professional		$1,000.00	$1,122.02	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $4,897.79	Facility		$741.31	$741.31	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $891.25 / $1,513.56	Professional		$50.12	$891.25	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $831.76 / $1,148.15	Facility		$741.31	$831.76	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $4,466.84 / $6,309.57	Facility		$67.61	$4,466.84	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,288.25	Professional		$79.43	$933.25	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,348.96	Professional		$933.25	$1,047.13	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $83.18	Professional		$48.98	$64.57	$83.18