Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.28 / $4,684.68 / $8,728.00	Facility		$514.28	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $1,250.63 / $3,713.62	Professional		$249.21	$1,250.63	$3,713.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.52 / $759.61 / $3,208.33	Professional		$412.52	$759.61	$3,208.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.62 / $647.37 / $2,813.20	Professional		$440.62	$647.37	$2,813.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.47 / $1,070.19 / $3,649.86	Facility		$315.47	$1,070.19	$3,649.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.03 / $1,806.11 / $3,421.44	Professional		$384.03	$1,806.11	$3,421.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.74 / $2,216.71 / $2,641.81	Facility		$483.74	$2,216.71	$2,641.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.47 / $1,888.57 / $3,649.86	Facility		$315.47	$1,888.57	$3,649.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.40 / $1,648.24 / $3,552.07	Professional		$454.40	$1,648.24	$3,552.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.71 / $814.61 / $3,383.52	Professional		$457.71	$814.61	$3,383.52
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 $1,992.81 / $2,685.38 / $3,763.83	Professional		$1,992.81	$2,685.38	$3,763.83