Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $7,943.28	Facility		$416.87	$2,511.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $645.65 / $1,819.70	Professional		$208.93	$645.65	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $933.25 / $2,818.38	Professional		$295.12	$933.25	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $2,630.27	Professional		$363.08	$537.03	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,023.29 / $2,511.89	Facility		$251.19	$1,023.29	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,148.15 / $2,511.89	Professional		$331.13	$1,148.15	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,137.96	Facility		$1,318.26	$1,949.84	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $891.25 / $2,454.71	Facility		$251.19	$891.25	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $588.84 / $2,754.23	Professional		$79.43	$588.84	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,258.93 / $2,570.40	Professional		$398.11	$1,258.93	$2,570.40
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 $275.42 / $891.25 / $2,691.53	Professional		$275.42	$891.25	$2,691.53