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 $337.01 / $522.04 / $1,303.76	Professional		$337.01	$522.04	$1,303.76
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 $482.45 / $838.82 / $1,098.85	Professional		$482.45	$838.82	$1,098.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.49 / $784.96 / $961.07	Professional		$553.49	$784.96	$961.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.69 / $522.04 / $1,031.03	Facility		$311.69	$522.04	$1,031.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $17,150.38 / $18,772.80	Professional		$162.97	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $191.04 / $637.28	Facility		$143.28	$191.04	$637.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.62 / $522.04 / $1,073.75	Facility		$290.62	$522.04	$1,073.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $727.70 / $1,067.65	Professional		$244.46	$727.70	$1,067.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $669.77 / $851.53 / $1,031.83	Professional		$669.77	$851.53	$1,031.83
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 $470.38 / $665.57 / $1,083.10	Professional		$470.38	$665.57	$1,083.10