Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,684.68 / $8,728.00	Facility		$988.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.97 / $554.66 / $1,466.05	Professional		$367.97	$554.66	$1,466.05
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 $474.87 / $856.64 / $1,252.36	Professional		$474.87	$856.64	$1,252.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.36 / $1,025.81 / $1,230.68	Professional		$870.36	$1,025.81	$1,230.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.20 / $767.18 / $994.62	Facility		$542.20	$767.18	$994.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $628.13 / $759.68 / $1,229.69	Professional		$628.13	$759.68	$1,229.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.15 / $773.85 / $929.41	Facility		$518.15	$773.85	$929.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $821.73 / $1,374.54	Facility		$545.71	$821.73	$1,374.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.77 / $905.19 / $1,260.67	Professional		$712.77	$905.19	$1,260.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $777.49 / $1,087.24 / $1,461.26	Professional		$777.49	$1,087.24	$1,461.26
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 $585.05 / $835.80 / $1,287.60	Professional		$585.05	$835.80	$1,287.60