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 $509.59 / $538.70 / $2,650.26	Professional		$509.59	$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 / $979.19 / $1,449.49	Facility		$538.70	$979.19	$1,449.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $786.06 / $894.50 / $1,657.22	Professional		$786.06	$894.50	$1,657.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.55 / $922.59 / $1,045.86	Facility		$654.55	$922.59	$1,045.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.70 / $1,112.88 / $1,333.49	Facility		$538.70	$1,112.88	$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 $790.40 / $1,156.55 / $1,653.31	Professional		$790.40	$1,156.55	$1,653.31