Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.24 / $3,213.00 / $8,728.00	Facility		$198.24	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $748.79 / $2,827.20	Professional		$80.84	$748.79	$2,827.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $558.34 / $1,781.30	Professional		$158.43	$558.34	$1,781.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $539.01 / $1,423.12	Professional		$167.29	$539.01	$1,423.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.37 / $539.01 / $2,055.30	Facility		$125.37	$539.01	$2,055.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $903.59 / $1,796.23	Professional		$140.88	$903.59	$1,796.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.43 / $1,116.46 / $1,523.53	Facility		$172.43	$1,116.46	$1,523.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.37 / $1,029.83 / $2,018.59	Facility		$125.37	$1,029.83	$2,018.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $762.72 / $1,736.69	Professional		$172.25	$762.72	$1,736.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $305.33 / $1,717.82	Professional		$171.56	$305.33	$1,717.82
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 $1,102.93 / $1,539.80 / $2,006.07	Professional		$1,102.93	$1,539.80	$2,006.07