Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.60 / $4,684.68 / $8,728.00	Facility		$1,372.60	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.70 / $954.93 / $2,137.30	Professional		$603.70	$954.93	$2,137.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.22 / $1,290.00 / $1,938.39	Professional		$777.22	$1,290.00	$1,938.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.33 / $1,469.21 / $1,741.57	Professional		$1,239.33	$1,469.21	$1,741.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.93 / $1,223.26 / $2,053.10	Facility		$954.93	$1,223.26	$2,053.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.26 / $1,205.76 / $2,195.14	Professional		$1,104.26	$1,205.76	$2,195.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $840.09 / $1,270.32 / $1,378.19	Facility		$840.09	$1,270.32	$1,378.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $907.18 / $1,285.88 / $1,763.40	Facility		$907.18	$1,285.88	$1,763.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,205.76 / $1,401.50 / $1,923.89	Professional		$1,205.76	$1,401.50	$1,923.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,263.89 / $1,614.00 / $2,157.79	Professional		$1,263.89	$1,614.00	$2,157.79
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 $910.08 / $1,289.28 / $2,044.65	Professional		$910.08	$1,289.28	$2,044.65