Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,698.24 / $6,606.93	Facility		$173.78	$1,698.24	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $363.08 / $1,047.13	Professional		$69.18	$363.08	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $354.81 / $1,230.27	Professional		$109.65	$354.81	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $354.81 / $891.25	Professional		$123.03	$354.81	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $758.58 / $6,165.95	Facility		$104.71	$758.58	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $537.03 / $1,000.00	Professional		$107.15	$537.03	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $1,023.29	Facility		$602.56	$707.95	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $346.74 / $954.99	Facility		$79.43	$346.74	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $1,047.13	Professional		$79.43	$204.17	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $977.24	Professional		$147.91	$263.03	$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 $120.23 / $446.68 / $1,174.90	Professional		$120.23	$446.68	$1,174.90