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 $430.53 / $633.02 / $6,249.99	Professional		$430.53	$633.02	$6,249.99
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 $633.64 / $1,087.78 / $1,483.92	Professional		$633.64	$1,087.78	$1,483.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.54 / $1,047.72 / $1,297.33	Professional		$797.54	$1,047.72	$1,297.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.05 / $689.07 / $1,481.50	Facility		$604.05	$689.07	$1,481.50
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 $663.96 / $971.55 / $1,011.03	Facility		$663.96	$971.55	$1,011.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $563.94 / $696.32 / $1,481.50	Facility		$563.94	$696.32	$1,481.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,142.31 / $1,583.22	Professional		$672.00	$1,142.31	$1,583.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $878.27 / $1,156.68 / $1,353.03	Professional		$878.27	$1,156.68	$1,353.03
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 $704.00 / $973.04 / $1,621.41	Professional		$704.00	$973.04	$1,621.41