Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $7,920.26 / $20,400.00	Facility		$967.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.27 / $674.07 / $1,754.16	Professional		$386.27	$674.07	$1,754.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.57 / $819.59 / $1,370.50	Professional		$519.57	$819.59	$1,370.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.91 / $1,021.60 / $1,276.68	Professional		$557.91	$1,021.60	$1,276.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $516.20 / $864.76 / $1,291.48	Facility		$516.20	$864.76	$1,291.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $697.04 / $874.47 / $1,385.64	Professional		$697.04	$874.47	$1,385.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.72 / $992.33 / $1,098.80	Facility		$636.72	$992.33	$1,098.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.91 / $963.92 / $6,120.00	Facility		$557.91	$963.92	$6,120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.84 / $1,004.40 / $1,327.44	Professional		$741.84	$1,004.40	$1,327.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,059.79 / $1,432.38	Professional		$794.00	$1,059.79	$1,432.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.16 / $1,002.94 / $1,452.73	Professional		$715.16	$1,002.94	$1,452.73