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 $486.02 / $563.04 / $795.37	Professional		$486.02	$563.04	$795.37
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 $682.41 / $1,092.74 / $1,704.20	Professional		$682.41	$1,092.74	$1,704.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.80 / $1,243.75 / $1,492.07	Professional		$1,067.80	$1,243.75	$1,492.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $529.11 / $915.00 / $1,352.07	Facility		$529.11	$915.00	$1,352.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $360.27 / $1,147.96	Professional		$360.27	$360.27	$1,147.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $161.82 / $177.88	Facility		$106.73	$161.82	$177.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.11 / $901.28 / $1,352.07	Facility		$529.11	$901.28	$1,352.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.12 / $1,112.96 / $1,704.20	Professional		$361.12	$1,112.96	$1,704.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,057.84 / $1,352.61 / $1,817.92	Professional		$1,057.84	$1,352.61	$1,817.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.37 / $641.64 / $1,002.81	Professional		$452.37	$641.64	$1,002.81