Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.45 / $2,747.00 / $7,920.26	Facility		$793.45	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $502.08 / $1,194.49	Professional		$317.58	$502.08	$1,194.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.14 / $738.71 / $1,114.17	Professional		$411.14	$738.71	$1,114.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $888.11 / $1,018.37	Professional		$743.60	$888.11	$1,018.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.84 / $664.50 / $920.55	Facility		$426.84	$664.50	$920.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $559.67 / $670.89 / $1,048.39	Professional		$559.67	$670.89	$1,048.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.64 / $710.87 / $829.54	Facility		$450.64	$710.87	$829.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.02 / $682.73 / $1,047.78	Facility		$461.02	$682.73	$1,047.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.85 / $788.66 / $1,084.02	Professional		$626.85	$788.66	$1,084.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $890.90	Facility		$564.70	$724.26	$890.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $685.14 / $901.81 / $1,187.30	Professional		$685.14	$901.81	$1,187.30
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 $532.20 / $773.48 / $1,208.86	Professional		$532.20	$773.48	$1,208.86