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 $333.64 / $543.22 / $3,228.67	Professional		$333.64	$543.22	$3,228.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.83 / $979.60 / $1,413.91	Professional		$599.83	$979.60	$1,413.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.91 / $912.74 / $1,097.38	Professional		$746.91	$912.74	$1,097.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $543.22 / $695.43 / $1,167.92	Facility		$543.22	$695.43	$1,167.92
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 $511.34 / $727.62 / $852.24	Facility		$511.34	$727.62	$852.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $543.22 / $776.80 / $1,167.92	Facility		$543.22	$776.80	$1,167.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $962.90 / $1,323.79	Professional		$532.95	$962.90	$1,323.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $734.35 / $1,002.46 / $1,334.33	Professional		$734.35	$1,002.46	$1,334.33
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 $570.34 / $814.58 / $1,288.02	Professional		$570.34	$814.58	$1,288.02