Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.01 / $5,649.00 / $15,341.00	Facility		$839.01	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $585.66 / $1,321.34	Professional		$321.10	$585.66	$1,321.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $639.85 / $1,005.63	Professional		$394.97	$639.85	$1,005.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $793.27 / $881.41	Professional		$380.63	$793.27	$881.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $610.77 / $1,018.16	Facility		$380.63	$610.77	$1,018.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $563.53 / $639.28 / $1,192.51	Professional		$563.53	$639.28	$1,192.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.07 / $704.78 / $755.09	Facility		$508.07	$704.78	$755.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.73 / $727.32 / $959.36	Facility		$420.73	$727.32	$959.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $724.46 / $1,004.69	Professional		$583.20	$724.46	$1,004.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,916.51 / $1,916.51 / $1,916.51	Facility		$1,916.51	$1,916.51	$1,916.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $687.60 / $739.09 / $1,035.72	Professional		$687.60	$739.09	$1,035.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.00 / $691.20 / $1,105.93	Professional		$486.00	$691.20	$1,105.93