Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $2,571.38 / $2,571.38	Facility		$1,092.83	$2,571.38	$2,571.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,067.11 / $1,833.31	Professional		$1,028.55	$1,067.11	$1,833.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $2,185.67	Facility		$1,092.83	$1,092.83	$2,185.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.32 / $957.99 / $1,214.38	Professional		$795.32	$957.99	$1,214.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $631.12 / $1,067.11 / $1,525.98	Facility		$631.12	$1,067.11	$1,525.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.24 / $533.12 / $667.85	Professional		$444.24	$533.12	$667.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,256.07 / $79,999.20 / $79,999.20	Facility		$1,256.07	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.12 / $1,092.83 / $1,493.97	Facility		$631.12	$1,092.83	$1,493.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,339.26 / $1,339.26	Professional		$1,092.83	$1,339.26	$1,339.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $976.56 / $1,703.54 / $2,431.63	Facility		$976.56	$1,703.54	$2,431.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,232.11	Professional		$1,071.41	$1,071.41	$1,232.11