Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $4,073.80	Facility		$1,071.52	$1,621.81	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $2,754.23	Professional		$575.44	$707.95	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $1,905.46	Professional		$707.95	$1,348.96	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,479.11 / $1,698.24	Professional		$660.69	$1,479.11	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,737.80	Facility		$812.83	$1,174.90	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $2,041.74	Professional		$676.08	$1,202.26	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,288.25	Facility		$1,023.29	$1,230.27	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,905.46	Facility		$812.83	$1,258.93	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,737.80	Professional		$79.43	$1,174.90	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,698.24	Professional		$1,122.02	$1,318.26	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $1,819.70	Professional		$794.33	$831.76	$1,819.70