Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.61 / $2,747.00 / $8,728.00	Facility		$388.61	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $296.02 / $3,285.00	Professional		$187.68	$296.02	$3,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $411.40 / $629.36	Professional		$278.45	$411.40	$629.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $419.27 / $500.20	Professional		$339.12	$419.27	$500.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.62 / $319.70 / $615.52	Facility		$251.62	$319.70	$615.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.18 / $382.80 / $682.21	Professional		$343.18	$382.80	$682.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $413.11 / $431.12	Facility		$310.08	$413.11	$431.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.62 / $385.36 / $615.52	Facility		$251.62	$385.36	$615.52
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $81.45 / $81.45 / $81.45	Facility	80	$81.45	$81.45	$81.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.23 / $69.23 / $69.23	Facility	AS	$69.23	$69.23	$69.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.07 / $416.00 / $602.29	Professional		$352.07	$416.00	$602.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $393.62 / $476.27 / $682.11	Professional		$393.62	$476.27	$682.11
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $403.85 / $652.21	Professional		$301.44	$403.85	$652.21