Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $3,036.21 / $15,341.00	Facility		$445.72	$3,036.21	$15,341.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,614.50 / $2,614.50 / $2,614.50	Facility	50	$2,614.50	$2,614.50	$2,614.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $847.19 / $1,997.53	Professional		$229.97	$847.19	$1,997.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $989.81 / $3,374.15	Professional		$360.31	$989.81	$3,374.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.94 / $631.58 / $2,951.38	Professional		$462.94	$631.58	$2,951.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.56 / $1,237.26 / $2,870.28	Facility		$305.56	$1,237.26	$2,870.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.28 / $1,560.60 / $3,089.07	Professional		$392.28	$1,560.60	$3,089.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.66 / $2,285.40 / $2,558.73	Facility		$467.66	$2,285.40	$2,558.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.63 / $1,331.22 / $3,209.29	Facility		$307.63	$1,331.22	$3,209.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.83 / $1,573.93 / $3,374.15	Professional		$444.83	$1,573.93	$3,374.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $442.18 / $1,500.06 / $3,292.08	Professional		$442.18	$1,500.06	$3,292.08
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 $1,378.26 / $2,578.48 / $3,980.04	Professional		$1,378.26	$2,578.48	$3,980.04