Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.49 / $518.46 / $1,264.44	Professional		$280.49	$518.46	$1,264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.38 / $847.67 / $1,220.27	Professional		$610.38	$847.67	$1,220.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.73 / $749.78 / $946.05	Professional		$600.73	$749.78	$946.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $518.46 / $1,114.69	Facility		$195.32	$518.46	$1,114.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.06 / $183.07 / $198.44	Facility		$119.06	$183.07	$198.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.70 / $518.46 / $1,114.69	Facility		$192.70	$518.46	$1,114.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $793.43 / $1,079.75	Professional		$234.38	$793.43	$1,079.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $631.02 / $900.91 / $1,093.51	Professional		$631.02	$900.91	$1,093.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.08 / $805.79 / $1,134.66	Professional		$512.08	$805.79	$1,134.66