Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $5,248.07 / $7,413.10	Facility		$436.52	$5,248.07	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $2,398.83 / $6,025.60	Professional		$208.93	$2,398.83	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $758.58 / $8,511.38	Professional		$275.42	$758.58	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,951.21 / $7,585.78	Professional		$354.81	$2,951.21	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,570.40 / $7,585.78	Facility		$218.78	$2,570.40	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $2,818.38 / $7,585.78	Professional		$338.84	$2,818.38	$7,585.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $8,317.64	Facility		$4,466.84	$5,370.32	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,398.83 / $7,244.36	Facility		$223.87	$2,398.83	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $588.84 / $8,128.31	Professional		$239.88	$588.84	$8,128.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $8,317.64	Professional		$416.87	$741.31	$8,317.64
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 $331.13 / $3,090.30 / $8,709.64	Professional		$331.13	$3,090.30	$8,709.64