Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.31 / $3,925.18 / $15,341.00	Facility		$345.31	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $724.79 / $1,052.14	Professional		$153.87	$724.79	$1,052.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.74 / $466.12 / $1,334.99	Professional		$282.74	$466.12	$1,334.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.67 / $432.94 / $1,118.88	Professional		$294.67	$432.94	$1,118.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.07 / $460.95 / $1,716.44	Facility		$210.07	$460.95	$1,716.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.05 / $728.00 / $1,447.17	Professional		$254.05	$728.00	$1,447.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.64 / $934.65 / $1,377.52	Facility		$329.64	$934.65	$1,377.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.07 / $772.63 / $1,716.44	Facility		$210.07	$772.63	$1,716.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $659.57 / $1,461.57	Professional		$304.00	$659.57	$1,461.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $307.52 / $547.29 / $1,344.50	Professional		$307.52	$547.29	$1,344.50
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 $896.77 / $1,225.31 / $1,575.09	Professional		$896.77	$1,225.31	$1,575.09