Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.72 / $4,684.68 / $8,728.00	Facility		$287.72	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $421.98 / $948.74	Professional		$164.99	$421.98	$948.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $391.38 / $806.30	Professional		$229.26	$391.38	$806.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.08 / $334.40 / $721.76	Professional		$246.08	$334.40	$721.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.74 / $444.05 / $954.71	Facility		$175.74	$444.05	$954.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.95 / $475.00 / $882.12	Professional		$212.95	$475.00	$882.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $287.30 / $578.03 / $697.58	Facility		$287.30	$578.03	$697.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.74 / $597.19 / $9,999.15	Facility		$175.74	$597.19	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $425.30 / $883.07	Professional		$253.44	$425.30	$883.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $456.27 / $850.86	Professional		$256.37	$456.27	$850.86
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 $482.56 / $649.60 / $955.39	Professional		$482.56	$649.60	$955.39