Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.20 / $7,920.26 / $20,400.00	Facility		$594.20	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $378.35 / $1,108.56	Professional		$256.74	$378.35	$1,108.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.84 / $519.30 / $801.45	Professional		$332.84	$519.30	$801.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.02 / $582.11 / $690.01	Professional		$491.02	$582.11	$690.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.35 / $518.34 / $672.35	Facility		$378.35	$518.34	$672.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $437.65 / $497.86 / $716.15	Professional		$437.65	$497.86	$716.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.48 / $523.85 / $546.04	Facility		$391.48	$523.85	$546.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.35 / $553.67 / $3,865.00	Facility		$378.35	$553.67	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.01 / $559.63 / $760.29	Professional		$494.01	$559.63	$760.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $500.63 / $636.11 / $854.94	Professional		$500.63	$636.11	$854.94
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 $407.49 / $559.29 / $843.30	Professional		$407.49	$559.29	$843.30