Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $4,684.68 / $8,728.00	Facility		$765.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $168.65 / $526.40	Professional		$117.85	$168.65	$526.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $240.50 / $366.80	Professional		$151.71	$240.50	$366.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $269.43 / $323.23	Professional		$231.34	$269.43	$323.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $235.32 / $305.44	Facility		$174.31	$235.32	$305.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.76 / $258.76 / $258.76	Professional		$258.76	$258.76	$258.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $242.17 / $250.58	Facility		$205.70	$242.17	$250.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $220.87 / $305.44	Facility		$174.31	$220.87	$305.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $261.45 / $377.59	Professional		$173.85	$261.45	$377.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $291.91 / $392.33	Professional		$229.41	$291.91	$392.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $254.81 / $396.84	Professional		$178.36	$254.81	$396.84