Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.97 / $7,074.00 / $20,400.00	Facility		$836.97	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.87 / $431.73 / $680.47	Professional		$360.87	$431.73	$680.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.05 / $918.75 / $1,451.47	Professional		$607.05	$918.75	$1,451.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.64 / $965.16 / $1,166.21	Professional		$780.64	$965.16	$1,166.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.42 / $680.47 / $1,154.53	Facility		$439.42	$680.47	$1,154.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $988.07 / $988.07 / $1,460.22	Professional		$988.07	$988.07	$1,460.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.18 / $417.45 / $454.95	Facility		$266.18	$417.45	$454.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.39 / $737.83 / $6,437.00	Facility		$488.39	$737.83	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $539.28 / $886.62 / $1,444.41	Professional		$539.28	$886.62	$1,444.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $902.86 / $1,068.24 / $1,564.59	Professional		$902.86	$1,068.24	$1,564.59
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 $546.04 / $762.88 / $1,379.78	Professional		$546.04	$762.88	$1,379.78