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 $491.63 / $743.75 / $1,017.44	Professional		$491.63	$743.75	$1,017.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $1,547.77 / $2,098.53	Professional		$658.00	$1,547.77	$2,098.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.34 / $1,517.14 / $1,922.75	Professional		$1,107.34	$1,517.14	$1,922.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $806.96 / $1,017.44 / $2,187.50	Facility		$806.96	$1,017.44	$2,187.50
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 $922.42 / $1,348.96 / $1,429.78	Facility		$922.42	$1,348.96	$1,429.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.78 / $1,017.44 / $2,187.50	Facility		$765.78	$1,017.44	$2,187.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.30 / $1,615.44 / $2,327.60	Professional		$890.30	$1,615.44	$2,327.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,305.08 / $1,665.59 / $2,010.59	Professional		$1,305.08	$1,665.59	$2,010.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $940.63 / $1,408.15 / $2,164.98	Professional		$940.63	$1,408.15	$2,164.98