Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.80 / $3,865.87 / $15,341.00	Facility		$633.80	$3,865.87	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.05 / $1,468.75 / $3,231.73	Professional		$320.05	$1,468.75	$3,231.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $569.66	Facility		$569.66	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.18 / $1,499.34 / $4,964.05	Professional		$482.18	$1,499.34	$4,964.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.29 / $898.09 / $4,481.97	Professional		$658.29	$898.09	$4,481.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.20 / $1,841.11 / $4,651.32	Facility		$423.20	$1,841.11	$4,651.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $564.36 / $2,868.20 / $4,610.10	Professional		$564.36	$2,868.20	$4,610.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.79 / $3,521.60 / $3,799.57	Facility		$629.79	$3,521.60	$3,799.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.83 / $1,940.63 / $4,651.32	Facility		$423.83	$1,940.63	$4,651.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.85 / $2,309.04 / $4,902.74	Professional		$616.85	$2,309.04	$4,902.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $2,197.48 / $4,713.28	Professional		$608.85	$2,197.48	$4,713.28
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 $1,946.67 / $3,568.18 / $5,575.22	Professional		$1,946.67	$3,568.18	$5,575.22