Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $6,606.93 / $7,943.28	Facility		$416.87	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $1,000.00	Professional		$275.42	$389.05	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,000.00	Professional		$588.84	$776.25	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $1,258.93	Facility		$338.84	$457.09	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $1,000.00	Professional		$275.42	$416.87	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $776.25	Facility		$467.74	$630.96	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $1,000.00	Facility		$323.59	$436.52	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $794.33	Professional		$79.43	$79.43	$794.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,023.29	Professional		$575.44	$758.58	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,023.29	Professional		$501.19	$741.31	$1,023.29