Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,412.54 / $6,606.93	Facility		$181.97	$1,412.54	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $489.78 / $1,122.02	Professional		$79.43	$489.78	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $562.34 / $1,905.46	Professional		$125.89	$562.34	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $549.54 / $1,412.54	Professional		$141.25	$549.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $707.95 / $4,677.35	Facility		$112.20	$707.95	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $741.31 / $1,548.82	Professional		$128.82	$741.31	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,548.82	Facility		$933.25	$1,122.02	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $537.03 / $1,479.11	Facility		$93.33	$537.03	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $1,621.81	Professional		$79.43	$234.42	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $1,513.56	Professional		$169.82	$302.00	$1,513.56
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 $138.04 / $676.08 / $1,778.28	Professional		$138.04	$676.08	$1,778.28