Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.84 / $2,747.00 / $7,920.26	Facility		$512.84	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $275.48 / $619.05	Professional		$214.15	$275.48	$619.05
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 $290.70 / $478.48 / $721.33	Professional		$290.70	$478.48	$721.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.71 / $571.12 / $657.16	Professional		$461.71	$571.12	$657.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.99 / $443.62 / $628.48	Facility		$285.99	$443.62	$628.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.07 / $441.00 / $673.96	Professional		$381.07	$441.00	$673.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.33 / $473.85 / $538.67	Facility		$314.33	$473.85	$538.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.99 / $443.11 / $671.89	Facility		$285.99	$443.11	$671.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $507.75 / $692.85	Professional		$416.00	$507.75	$692.85
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 $423.14 / $579.73 / $741.89	Professional		$423.14	$579.73	$741.89
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 $361.13 / $508.53 / $794.78	Professional		$361.13	$508.53	$794.78