Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $1,577.00 / $7,920.26	Facility		$152.66	$1,577.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $501.22 / $2,461.00	Professional		$77.31	$501.22	$2,461.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $378.38 / $1,192.81	Professional		$145.31	$378.38	$1,192.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $352.35 / $926.40	Professional		$152.40	$352.35	$926.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $352.35 / $1,439.90	Facility		$114.35	$352.35	$1,439.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $537.60 / $1,175.55	Professional		$128.63	$537.60	$1,175.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.82 / $764.47 / $1,030.46	Facility		$164.82	$764.47	$1,030.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $674.28 / $1,404.36	Facility		$114.35	$674.28	$1,404.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $493.97 / $1,141.90	Professional		$157.94	$493.97	$1,141.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $279.98 / $1,115.21	Professional		$157.32	$279.98	$1,115.21
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 $740.94 / $1,016.33 / $1,306.46	Professional		$740.94	$1,016.33	$1,306.46