Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.30 / $1,784.84 / $7,920.26	Facility		$295.30	$1,784.84	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $817.07 / $1,957.10	Professional		$144.47	$817.07	$1,957.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $492.68 / $2,173.67	Professional		$265.63	$492.68	$2,173.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.81 / $418.44 / $1,909.65	Professional		$284.81	$418.44	$1,909.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $443.76 / $2,191.86	Facility		$206.40	$443.76	$2,191.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $1,221.68 / $2,310.42	Professional		$244.45	$1,221.68	$2,310.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.42 / $1,503.15 / $1,712.58	Facility		$293.42	$1,503.15	$1,712.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $800.55 / $2,191.86	Facility		$206.40	$800.55	$2,191.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $1,026.06 / $2,398.75	Professional		$291.83	$1,026.06	$2,398.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $525.40 / $2,297.69	Professional		$295.20	$525.40	$2,297.69
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 $1,284.96 / $1,726.90 / $2,579.94	Professional		$1,284.96	$1,726.90	$2,579.94