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 $294.39 / $583.73 / $1,093.00	Professional		$294.39	$583.73	$1,093.00
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 $1,161.68 / $1,353.13 / $1,548.31	Professional		$1,161.68	$1,353.13	$1,548.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.75 / $1,093.00 / $1,562.99	Facility		$1,016.75	$1,093.00	$1,562.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.25 / $1,485.25 / $1,485.25	Professional		$1,485.25	$1,485.25	$1,485.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.61 / $1,078.70 / $1,541.00	Facility		$765.61	$1,078.70	$1,541.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.01 / $1,093.00 / $1,562.99	Facility		$996.01	$1,093.00	$1,562.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,225.88 / $1,225.88 / $1,538.84	Professional		$1,225.88	$1,225.88	$1,538.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,128.47 / $1,712.83 / $2,326.11	Professional		$1,128.47	$1,712.83	$2,326.11
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 $594.03 / $848.70 / $2,119.89	Professional		$594.03	$848.70	$2,119.89