Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.25 / $3,213.00 / $8,728.00	Facility		$231.25	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $382.02 / $909.61	Professional		$111.40	$382.02	$909.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $987.86 / $987.86 / $987.86	Professional	50	$987.86	$987.86	$987.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $424.58 / $1,413.35	Professional		$165.20	$424.58	$1,413.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $287.68 / $1,266.01	Professional		$210.87	$287.68	$1,266.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.59 / $530.73 / $1,254.59	Facility		$141.59	$530.73	$1,254.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $811.26 / $1,359.04	Professional		$178.87	$811.26	$1,359.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.84 / $934.69 / $1,065.30	Facility		$235.84	$934.69	$1,065.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $584.41 / $1,397.84	Facility		$141.68	$584.41	$1,397.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $653.87 / $1,439.27	Professional		$205.40	$653.87	$1,439.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.58 / $653.45 / $1,433.52	Professional		$204.58	$653.45	$1,433.52
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 $542.79 / $998.19 / $1,687.64	Professional		$542.79	$998.19	$1,687.64