Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.47 / $1,009.47 / $1,009.47	Facility		$1,009.47	$1,009.47	$1,009.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.96 / $881.96 / $881.96	Professional		$881.96	$881.96	$881.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,806.42 / $1,806.42 / $1,806.42	Facility		$1,806.42	$1,806.42	$1,806.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.76 / $432.27 / $466.40	Professional		$374.76	$432.27	$466.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.24 / $926.06 / $1,896.21	Facility		$386.24	$926.06	$1,896.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $929.88 / $1,788.23	Professional		$384.84	$929.88	$1,788.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.96 / $1,201.75 / $1,922.80	Facility		$881.96	$1,201.75	$1,922.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.14 / $1,112.74 / $1,261.83	Professional		$518.14	$1,112.74	$1,261.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,009.47 / $1,009.47 / $1,009.47	Professional		$1,009.47	$1,009.47	$1,009.47
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,018.33	Professional		$885.50	$885.50	$1,018.33