Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.25 / $2,747.00 / $7,920.26	Facility		$1,015.25	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.93 / $662.76 / $1,346.93	Professional		$441.93	$662.76	$1,346.93
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 $593.72 / $973.50 / $1,475.40	Professional		$593.72	$973.50	$1,475.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.01 / $1,125.98 / $1,331.18	Professional		$963.01	$1,125.98	$1,331.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.46 / $912.24 / $1,224.84	Facility		$692.46	$912.24	$1,224.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $795.60 / $896.06 / $1,361.56	Professional		$795.60	$896.06	$1,361.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.05 / $948.96 / $1,037.16	Facility		$606.05	$948.96	$1,037.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.46 / $912.24 / $1,377.29	Facility		$692.46	$912.24	$1,377.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $879.20 / $1,031.56 / $1,400.94	Professional		$879.20	$1,031.56	$1,400.94
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 $928.69 / $1,201.84 / $1,599.73	Professional		$928.69	$1,201.84	$1,599.73
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 $709.51 / $1,005.34 / $1,634.16	Professional		$709.51	$1,005.34	$1,634.16