Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,090.30 / $5,623.41	Facility		$208.93	$3,090.30	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $257.04 / $707.95	Professional		$75.86	$257.04	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $346.74 / $1,174.90	Professional		$117.49	$346.74	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $870.96	Professional		$134.90	$346.74	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,096.48 / $5,495.41	Facility		$117.49	$1,096.48	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $524.81 / $977.24	Professional		$117.49	$524.81	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $977.24	Facility		$588.84	$691.83	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $338.84 / $912.01	Facility		$87.10	$338.84	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $1,000.00	Professional		$79.43	$223.87	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $933.25	Professional		$162.18	$288.40	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $389.05 / $1,122.02	Professional		$131.83	$389.05	$1,122.02