Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.58 / $4,962.67 / $15,341.00	Facility		$1,189.58	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.45 / $638.66 / $1,721.27	Professional		$419.45	$638.66	$1,721.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.64 / $1,016.55 / $1,539.19	Professional		$567.64	$1,016.55	$1,539.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.86 / $1,201.38 / $1,441.31	Professional		$1,021.86	$1,201.38	$1,441.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.67 / $903.01 / $1,172.85	Facility		$622.67	$903.01	$1,172.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $728.28 / $910.06 / $1,445.39	Professional		$728.28	$910.06	$1,445.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.20 / $905.73 / $1,096.79	Facility		$611.20	$905.73	$1,096.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.84 / $943.85 / $1,617.90	Facility		$628.84	$943.85	$1,617.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.31 / $1,078.68 / $1,486.72	Professional		$842.31	$1,078.68	$1,486.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $979.88 / $1,277.68 / $1,717.21	Professional		$979.88	$1,277.68	$1,717.21
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 $710.16 / $1,007.76 / $1,614.56	Professional		$710.16	$1,007.76	$1,614.56