Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.63 / $4,684.68 / $8,728.00	Facility		$430.63	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $1,042.51 / $4,633.78	Professional		$162.34	$1,042.51	$4,633.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.73 / $1,767.57 / $5,178.01	Professional		$313.73	$1,767.57	$5,178.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.60 / $535.67 / $4,472.88	Professional		$364.60	$535.67	$4,472.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.81 / $1,689.37 / $5,259.80	Facility		$263.81	$1,689.37	$5,259.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.76 / $2,836.17 / $5,637.96	Professional		$312.76	$2,836.17	$5,637.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.38 / $3,441.66 / $3,806.94	Facility		$344.38	$3,441.66	$3,806.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.81 / $3,001.20 / $5,259.80	Facility		$263.81	$3,001.20	$5,259.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.04 / $2,421.13 / $5,532.56	Professional		$375.04	$2,421.13	$5,532.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $379.38 / $675.19 / $5,464.23	Professional		$379.38	$675.19	$5,464.23
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 $2,954.64 / $3,983.04 / $6,078.41	Professional		$2,954.64	$3,983.04	$6,078.41