Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,584.89 / $5,754.40	Facility		$165.96	$1,584.89	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $354.81 / $870.96	Professional		$72.44	$354.81	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $380.19 / $1,230.27	Professional		$114.82	$380.19	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $363.08 / $912.01	Professional		$128.82	$363.08	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $645.65 / $4,677.35	Facility		$102.33	$645.65	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $269.15 / $1,023.29	Professional		$117.49	$269.15	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $1,023.29	Facility		$602.56	$724.44	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $354.81 / $954.99	Facility		$85.11	$354.81	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $1,071.52	Professional		$79.43	$213.80	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $977.24	Professional		$158.49	$281.84	$977.24
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 $128.82 / $457.09 / $1,202.26	Professional		$128.82	$457.09	$1,202.26