Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.29 / $4,684.68 / $8,728.00	Facility		$1,495.29	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $1,040.29 / $2,328.10	Professional		$657.72	$1,040.29	$2,328.10
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 $846.89 / $1,405.31 / $2,112.27	Professional		$846.89	$1,405.31	$2,112.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.13 / $1,600.49 / $1,897.27	Professional		$1,350.13	$1,600.49	$1,897.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.29 / $1,333.00 / $2,236.62	Facility		$1,040.29	$1,333.00	$2,236.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.00 / $1,313.92 / $2,391.42	Professional		$1,203.00	$1,313.92	$2,391.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.04 / $1,381.54 / $1,501.47	Facility		$986.04	$1,381.54	$1,501.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $988.28 / $1,400.58 / $1,919.57	Facility		$988.28	$1,400.58	$1,919.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,313.92 / $1,527.04 / $2,094.94	Professional		$1,313.92	$1,527.04	$2,094.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,375.82 / $1,756.94 / $2,350.81	Professional		$1,375.82	$1,756.94	$2,350.81
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 $1,010.38 / $1,422.79 / $2,317.54	Professional		$1,010.38	$1,422.79	$2,317.54