Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.17 / $5,380.00 / $15,341.00	Facility		$326.17	$5,380.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $596.90 / $994.83	Professional		$142.91	$596.90	$994.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $235.63	Facility		$235.63	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $495.15 / $1,600.75	Professional		$210.78	$495.15	$1,600.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $369.14 / $1,394.66	Professional		$270.57	$369.14	$1,394.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.71 / $584.66 / $1,435.51	Facility		$178.71	$584.66	$1,435.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $899.32 / $1,530.86	Professional		$232.09	$899.32	$1,530.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $277.29 / $1,067.31 / $1,170.49	Facility		$277.29	$1,067.31	$1,170.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.71 / $635.99 / $1,529.13	Facility		$178.71	$635.99	$1,529.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $749.65 / $1,593.00	Professional		$262.52	$749.65	$1,593.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $717.97 / $1,568.16	Professional		$262.20	$717.97	$1,568.16
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 $608.11 / $1,145.80 / $1,791.68	Professional		$608.11	$1,145.80	$1,791.68