Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.58 / $2,747.00 / $7,920.26	Facility		$525.58	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $324.33 / $823.95	Professional		$209.25	$324.33	$823.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $531.10 / $837.77	Professional		$319.39	$531.10	$837.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.39 / $605.50 / $767.01	Professional		$493.39	$605.50	$767.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $324.33 / $480.26 / $697.33	Facility		$324.33	$480.26	$697.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $508.66 / $774.51	Professional		$390.92	$508.66	$774.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $545.91 / $624.13	Facility		$352.55	$545.91	$624.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $324.33 / $480.26 / $734.75	Facility		$324.33	$480.26	$734.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.75 / $582.20 / $817.80	Professional		$438.75	$582.20	$817.80
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 $444.05 / $620.79 / $862.49	Professional		$444.05	$620.79	$862.49
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 $420.96 / $597.80 / $945.77	Professional		$420.96	$597.80	$945.77