Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.14 / $5,116.62 / $7,920.26	Facility		$471.14	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $2,373.01 / $6,012.19	Professional		$212.75	$2,373.01	$6,012.19
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 $330.67 / $2,575.44 / $9,186.68	Professional		$330.67	$2,575.44	$9,186.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.14 / $2,612.36 / $6,936.49	Professional		$438.14	$2,612.36	$6,936.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.72 / $2,612.36 / $9,931.67	Facility		$299.72	$2,612.36	$9,931.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $366.82 / $687.52 / $7,604.30	Professional		$366.82	$687.52	$7,604.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $428.29 / $5,411.04 / $8,202.35	Facility		$428.29	$5,411.04	$8,202.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.72 / $4,507.20 / $7,660.26	Facility		$299.72	$4,507.20	$7,660.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.44 / $4,658.30 / $8,668.35	Professional		$413.44	$4,658.30	$8,668.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $744.32 / $9,042.37	Professional		$418.22	$744.32	$9,042.37
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 $5,437.07 / $7,696.05 / $10,410.65	Professional		$5,437.07	$7,696.05	$10,410.65