Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $2,747.00 / $7,920.26	Facility		$472.50	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $346.48 / $1,232.15	Professional		$219.87	$346.48	$1,232.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.59 / $519.52 / $759.54	Professional		$347.59	$519.52	$759.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.11 / $520.41 / $585.91	Professional		$369.11	$520.41	$585.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.48 / $514.75 / $744.93	Facility		$346.48	$514.75	$744.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.01 / $440.05 / $757.52	Professional		$371.01	$440.05	$757.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $449.64 / $482.80	Facility		$344.00	$449.64	$482.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.48 / $540.34 / $680.32	Facility		$346.48	$540.34	$680.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.57 / $563.35 / $707.23	Professional		$420.57	$563.35	$707.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $1,267.00 / $1,267.00	Facility		$1,267.00	$1,267.00	$1,267.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $437.29 / $585.84 / $748.99	Professional		$437.29	$585.84	$748.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.12 / $534.32 / $756.44	Professional		$373.12	$534.32	$756.44