Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,148.15 / $6,606.93	Facility		$173.78	$1,148.15	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $251.19 / $831.76	Professional		$89.13	$251.19	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $446.68 / $1,380.38	Professional		$123.03	$446.68	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $1,230.27	Professional		$147.91	$218.78	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $478.63 / $1,096.48	Facility		$107.15	$478.63	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $562.34 / $1,174.90	Professional		$141.25	$562.34	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,000.00	Facility		$575.44	$851.14	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $380.19 / $1,071.52	Facility		$107.15	$380.19	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $1,348.96	Professional		$79.43	$245.47	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $616.60 / $1,230.27	Professional		$165.96	$616.60	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $398.11 / $1,202.26	Professional		$114.82	$398.11	$1,202.26