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 $327.48 / $390.00 / $524.48	Professional		$327.48	$390.00	$524.48
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 $476.40 / $797.48 / $1,072.86	Professional		$476.40	$797.48	$1,072.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.11 / $757.82 / $938.37	Professional		$577.11	$757.82	$938.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $524.48 / $1,127.63	Facility		$420.91	$524.48	$1,127.63
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 $480.04 / $703.03 / $730.97	Facility		$480.04	$703.03	$730.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.86 / $524.48 / $1,127.63	Facility		$428.86	$524.48	$1,127.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.50 / $852.67 / $1,204.05	Professional		$511.50	$852.67	$1,204.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $667.93 / $851.53 / $1,028.98	Professional		$667.93	$851.53	$1,028.98
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 $511.02 / $731.59 / $1,155.38	Professional		$511.02	$731.59	$1,155.38