Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.50 / $3,146.90 / $13,320.00	Facility		$417.50	$3,146.90	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.03 / $1,101.63 / $2,811.52	Professional		$232.03	$1,101.63	$2,811.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.20 / $1,132.95 / $3,595.69	Professional		$386.20	$1,132.95	$3,595.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.41 / $1,141.56 / $3,012.43	Professional		$392.41	$1,141.56	$3,012.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.49 / $1,141.56 / $3,219.98	Facility		$270.49	$1,141.56	$3,219.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.04 / $1,916.57 / $3,809.92	Professional		$333.04	$1,916.57	$3,809.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.06 / $2,237.25 / $2,592.90	Facility		$414.06	$2,237.25	$2,592.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.49 / $1,932.18 / $3,277.94	Facility		$270.49	$1,932.18	$3,277.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.62 / $1,639.14 / $3,581.56	Professional		$400.62	$1,639.14	$3,581.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $396.21 / $705.15 / $3,619.45	Professional		$396.21	$705.15	$3,619.45
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,012.41 / $2,858.01 / $4,064.09	Professional		$2,012.41	$2,858.01	$4,064.09