Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $7,920.26 / $20,400.00	Facility		$495.66	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $233.06 / $588.77	Professional		$200.62	$233.06	$588.77
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 $273.94 / $430.02 / $664.76	Professional		$273.94	$430.02	$664.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.81 / $484.10 / $574.47	Professional		$408.81	$484.10	$574.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.27 / $425.54 / $555.04	Facility		$307.27	$425.54	$555.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $406.20 / $593.00	Professional		$362.39	$406.20	$593.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.64 / $433.80 / $452.92	Facility		$323.64	$433.80	$452.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $452.16 / $2,748.00	Facility		$310.61	$452.16	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.44 / $464.66 / $624.62	Professional		$410.44	$464.66	$624.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.76 / $527.62 / $709.12	Professional		$415.76	$527.62	$709.12
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 $324.38 / $466.70 / $712.51	Professional		$324.38	$466.70	$712.51