Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.58 / $2,792.00 / $7,920.26	Facility		$471.58	$2,792.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $877.50 / $1,549.46	Professional		$250.12	$877.50	$1,549.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.37 / $790.94 / $2,317.00	Professional		$383.37	$790.94	$2,317.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.79 / $668.22 / $1,957.19	Professional		$489.79	$668.22	$1,957.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.79 / $820.48 / $2,371.53	Facility		$326.79	$820.48	$2,371.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.76 / $1,269.71 / $2,234.05	Professional		$417.76	$1,269.71	$2,234.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $1,552.88 / $1,780.11	Facility		$499.82	$1,552.88	$1,780.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.79 / $890.94 / $2,371.53	Facility		$326.79	$890.94	$2,371.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.21 / $1,047.70 / $2,307.69	Professional		$475.21	$1,047.70	$2,307.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $474.54 / $1,010.17 / $2,204.40	Professional		$474.54	$1,010.17	$2,204.40
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 $886.00 / $1,687.48 / $2,595.17	Professional		$886.00	$1,687.48	$2,595.17