Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $7,943.28 / $7,943.28	Facility		$691.83	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $6,309.57	Professional		$446.68	$562.34	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,412.54	Professional		$588.84	$954.99	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,202.26	Professional		$758.58	$977.24	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,778.28	Facility		$478.63	$691.83	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $6,309.57	Professional		$457.09	$602.56	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,000.00	Facility		$707.95	$977.24	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,584.89	Facility		$457.09	$691.83	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $1,258.93	Professional		$70.79	$79.43	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,348.96	Professional		$851.14	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,318.26	Professional		$562.34	$891.25	$1,318.26