Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.98 / $2,747.00 / $7,920.26	Facility		$682.98	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.43 / $385.36 / $1,003.49	Professional		$259.43	$385.36	$1,003.49
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 $350.39 / $619.46 / $960.39	Professional		$350.39	$619.46	$960.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.67 / $755.70 / $878.17	Professional		$627.67	$755.70	$878.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.59 / $574.20 / $804.95	Facility		$381.59	$574.20	$804.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.80 / $561.28 / $900.33	Professional		$454.80	$561.28	$900.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.12 / $609.77 / $710.25	Facility		$385.12	$609.77	$710.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.76 / $575.67 / $897.83	Facility		$377.76	$575.67	$897.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.55 / $675.10 / $922.82	Professional		$520.55	$675.10	$922.82
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 $573.21 / $774.46 / $993.33	Professional		$573.21	$774.46	$993.33
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 $450.26 / $651.44 / $1,033.10	Professional		$450.26	$651.44	$1,033.10