Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.98 / $612.77 / $837.31	Professional		$543.98	$612.77	$837.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.13 / $1,149.68 / $1,794.67	Professional		$718.13	$1,149.68	$1,794.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.63 / $1,308.76 / $1,570.06	Professional		$1,123.63	$1,308.76	$1,570.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.75 / $963.00 / $1,422.62	Facility		$556.75	$963.00	$1,422.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.07 / $382.07 / $1,209.41	Professional		$382.07	$382.07	$1,209.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $174.26 / $192.90	Facility		$115.74	$174.26	$192.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.75 / $948.44 / $1,422.62	Facility		$556.75	$948.44	$1,422.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.87 / $1,171.79 / $1,794.67	Professional		$388.87	$1,171.79	$1,794.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,113.20 / $1,424.41 / $1,914.43	Professional		$1,113.20	$1,424.41	$1,914.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.89 / $599.92 / $850.60	Professional		$415.89	$599.92	$850.60