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 $418.80 / $614.22 / $2,311.62	Professional		$418.80	$614.22	$2,311.62
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 $615.44 / $1,058.13 / $1,438.68	Professional		$615.44	$1,058.13	$1,438.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.28 / $1,015.99 / $1,258.04	Professional		$774.28	$1,015.99	$1,258.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.46 / $668.60 / $1,320.57	Facility		$450.46	$668.60	$1,320.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $17,150.38 / $18,772.80	Professional		$282.80	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.58 / $341.52 / $891.44	Facility		$245.58	$341.52	$891.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.20 / $668.60 / $1,344.35	Facility		$424.20	$668.60	$1,344.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.20 / $929.96 / $1,431.69	Professional		$424.20	$929.96	$1,431.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $854.28 / $1,125.08 / $1,316.08	Professional		$854.28	$1,125.08	$1,316.08
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 $675.68 / $972.98 / $1,563.32	Professional		$675.68	$972.98	$1,563.32