Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.63 / $4,704.00 / $8,728.00	Facility		$1,108.63	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.14 / $538.70 / $2,650.26	Professional		$516.14	$538.70	$2,650.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.73 / $1,129.86 / $1,535.06	Professional		$706.73	$1,129.86	$1,535.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.30 / $1,139.92 / $1,283.44	Professional		$802.30	$1,139.92	$1,283.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.70 / $990.47 / $1,449.49	Facility		$538.70	$990.47	$1,449.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $786.06 / $907.20 / $1,657.22	Professional		$786.06	$907.20	$1,657.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.96 / $922.59 / $1,045.86	Facility		$629.96	$922.59	$1,045.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.70 / $1,101.38 / $1,333.49	Facility		$538.70	$1,101.38	$1,333.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.45 / $1,197.30 / $1,535.06	Professional		$890.45	$1,197.30	$1,535.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $997.66 / $1,243.51	Facility		$763.05	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $955.76 / $1,280.80 / $1,637.49	Professional		$955.76	$1,280.80	$1,637.49
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 $805.60 / $1,259.32 / $1,637.93	Professional		$805.60	$1,259.32	$1,637.93