Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.56 / $5,116.62 / $20,400.00	Facility		$1,225.56	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.22 / $746.59 / $1,725.00	Professional		$534.22	$746.59	$1,725.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.64 / $1,168.98 / $1,669.78	Professional		$765.64	$1,168.98	$1,669.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.82 / $1,249.91 / $1,422.86	Professional		$883.82	$1,249.91	$1,422.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.04 / $1,067.61 / $1,605.17	Facility		$542.04	$1,067.61	$1,605.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $907.32 / $1,292.24 / $1,803.64	Professional		$907.32	$1,292.24	$1,803.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $692.34 / $1,027.17 / $1,137.66	Facility		$692.34	$1,027.17	$1,137.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.04 / $1,164.31 / $1,605.17	Facility		$542.04	$1,164.31	$1,605.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,036.60 / $1,354.66 / $1,744.82	Professional		$1,036.60	$1,354.66	$1,744.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,041.86 / $1,393.21 / $1,805.47	Professional		$1,041.86	$1,393.21	$1,805.47
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 $877.24 / $1,282.13 / $1,785.48	Professional		$877.24	$1,282.13	$1,785.48