Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.59 / $1,230.34 / $7,920.26	Facility		$853.59	$1,230.34	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.37 / $505.21 / $1,309.45	Professional		$403.37	$505.21	$1,309.45
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 $523.40 / $915.50 / $1,350.27	Professional		$523.40	$915.50	$1,350.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.81 / $1,087.82 / $1,243.26	Professional		$907.81	$1,087.82	$1,243.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $498.83 / $832.78 / $1,155.15	Facility		$498.83	$832.78	$1,155.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $729.64 / $819.22 / $1,273.89	Professional		$729.64	$819.22	$1,273.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $580.94 / $873.28 / $1,004.33	Facility		$580.94	$873.28	$1,004.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $832.78 / $1,299.54	Facility		$550.00	$832.78	$1,299.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $799.20 / $966.63 / $1,334.08	Professional		$799.20	$966.63	$1,334.08
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 $845.67 / $1,112.51 / $1,461.26	Professional		$845.67	$1,112.51	$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 $672.28 / $946.68 / $1,533.28	Professional		$672.28	$946.68	$1,533.28