Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.01 / $2,747.00 / $7,920.26	Facility		$794.01	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.77 / $472.58 / $1,148.83	Professional		$321.77	$472.58	$1,148.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.93 / $771.28 / $1,235.11	Professional		$432.93	$771.28	$1,235.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.20 / $988.13 / $1,139.97	Professional		$818.20	$988.13	$1,139.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.76 / $694.03 / $953.37	Facility		$468.76	$694.03	$953.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.64 / $720.04 / $1,186.09	Professional		$584.64	$720.04	$1,186.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $476.88 / $745.04 / $916.70	Facility		$476.88	$745.04	$916.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.76 / $707.54 / $1,182.46	Facility		$468.76	$707.54	$1,182.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.14 / $835.51 / $1,171.30	Professional		$649.14	$835.51	$1,171.30
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 $692.64 / $980.31 / $1,317.54	Professional		$692.64	$980.31	$1,317.54
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 $564.58 / $777.13 / $1,324.64	Professional		$564.58	$777.13	$1,324.64