Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.21 / $7,920.26 / $13,496.00	Facility		$906.21	$7,920.26	$13,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.89 / $553.30 / $1,099.43	Professional		$356.89	$553.30	$1,099.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.21 / $864.71 / $1,235.11	Professional		$560.21	$864.71	$1,235.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.67 / $924.43 / $1,052.33	Professional		$653.67	$924.43	$1,052.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.89 / $791.23 / $1,189.61	Facility		$400.89	$791.23	$1,189.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $670.89 / $955.51 / $1,333.65	Professional		$670.89	$955.51	$1,333.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $504.91 / $759.81 / $841.52	Facility		$504.91	$759.81	$841.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.89 / $862.89 / $1,189.61	Facility		$400.89	$862.89	$1,189.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $769.82 / $1,001.60 / $1,296.71	Professional		$769.82	$1,001.60	$1,296.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $770.01 / $1,030.55 / $1,334.38	Professional		$770.01	$1,030.55	$1,334.38
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 $632.91 / $893.51 / $1,332.01	Professional		$632.91	$893.51	$1,332.01