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 $593.53 / $1,088.76 / $25,364.80	Professional		$593.53	$1,088.76	$25,364.80
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 $1,225.55 / $1,427.48 / $1,574.30	Professional		$1,225.55	$1,427.48	$1,574.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,075.08 / $1,113.85 / $1,556.93	Facility		$1,075.08	$1,113.85	$1,556.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.32 / $1,525.32 / $1,525.32	Professional		$1,525.32	$1,525.32	$1,525.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $814.55 / $1,143.97 / $1,639.49	Facility		$814.55	$1,143.97	$1,639.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.32 / $1,088.76 / $1,556.93	Facility		$1,034.32	$1,088.76	$1,556.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,246.46 / $1,246.46 / $1,507.58	Professional		$1,246.46	$1,246.46	$1,507.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,233.32 / $1,788.69 / $2,503.30	Professional		$1,233.32	$1,788.69	$2,503.30
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.67 / $1,001.56 / $2,245.62	Professional		$218.67	$1,001.56	$2,245.62