Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.59 / $7,920.26 / $20,400.00	Facility		$1,271.59	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.12 / $888.23 / $1,830.92	Professional		$486.12	$888.23	$1,830.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.80 / $972.52 / $1,578.12	Professional		$604.80	$972.52	$1,578.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.24 / $1,241.11 / $1,400.26	Professional		$607.24	$1,241.11	$1,400.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.39 / $941.22 / $1,543.90	Facility		$588.39	$941.22	$1,543.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.06 / $990.06 / $1,722.15	Professional		$870.06	$990.06	$1,722.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $696.18 / $1,098.80 / $1,200.64	Facility		$696.18	$1,098.80	$1,200.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.26 / $1,039.84 / $1,523.13	Facility		$626.26	$1,039.84	$1,523.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $886.68 / $1,136.00 / $1,558.48	Professional		$886.68	$1,136.00	$1,558.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,041.86 / $1,149.14 / $1,605.07	Professional		$1,041.86	$1,149.14	$1,605.07
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 $770.09 / $1,115.19 / $1,757.11	Professional		$770.09	$1,115.19	$1,757.11