Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.66 / $5,116.62 / $20,400.00	Facility		$1,647.66	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.50 / $1,003.38 / $2,052.66	Professional		$701.50	$1,003.38	$2,052.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.53 / $1,572.87 / $2,247.02	Professional		$1,028.53	$1,572.87	$2,247.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,188.45 / $1,680.66 / $1,913.22	Professional		$1,188.45	$1,680.66	$1,913.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.84 / $1,434.83 / $2,157.27	Facility		$728.84	$1,434.83	$2,157.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.08 / $1,737.68 / $2,425.36	Professional		$1,220.08	$1,737.68	$2,425.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $918.57 / $1,381.20 / $1,530.95	Facility		$918.57	$1,381.20	$1,530.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.84 / $1,564.77 / $2,157.27	Facility		$728.84	$1,564.77	$2,157.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,394.76 / $1,819.60 / $2,346.34	Professional		$1,394.76	$1,819.60	$2,346.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,400.42 / $1,874.84 / $2,426.83	Professional		$1,400.42	$1,874.84	$2,426.83
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 $1,178.32 / $1,631.51 / $2,422.48	Professional		$1,178.32	$1,631.51	$2,422.48