Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.90 / $5,116.62 / $15,341.00	Facility		$575.90	$5,116.62	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.29 / $1,055.06 / $1,823.63	Professional		$266.29	$1,055.06	$1,823.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.93 / $927.70 / $2,885.26	Professional		$410.93	$927.70	$2,885.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.77 / $726.85 / $2,545.86	Professional		$532.77	$726.85	$2,545.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.26 / $1,067.26 / $2,830.30	Facility		$350.26	$1,067.26	$2,830.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.99 / $1,641.17 / $2,727.82	Professional		$453.99	$1,641.17	$2,727.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.23 / $2,011.53 / $2,277.33	Facility		$529.23	$2,011.53	$2,277.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.75 / $1,137.65 / $2,809.62	Facility		$352.75	$1,137.65	$2,809.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.55 / $1,349.09 / $2,914.55	Professional		$509.55	$1,349.09	$2,914.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $504.32 / $1,292.93 / $2,813.36	Professional		$504.32	$1,292.93	$2,813.36
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.44 / $2,279.91 / $3,366.44	Professional		$1,175.44	$2,279.91	$3,366.44