Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.07 / $4,684.68 / $8,728.00	Facility		$318.07	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $780.57 / $5,422.55	Professional		$142.63	$780.57	$5,422.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.62 / $1,609.39 / $4,725.14	Professional		$234.62	$1,609.39	$4,725.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.61 / $400.52 / $4,092.14	Professional		$272.61	$400.52	$4,092.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $1,543.12 / $5,135.70	Facility		$195.72	$1,543.12	$5,135.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.90 / $2,591.19 / $5,150.97	Professional		$235.90	$2,591.19	$5,150.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.45 / $3,029.55 / $3,799.57	Facility		$293.45	$3,029.55	$3,799.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $2,772.03 / $5,135.70	Facility		$195.72	$2,772.03	$5,135.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.60 / $2,209.38 / $4,952.68	Professional		$281.60	$2,209.38	$4,952.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.91 / $503.51 / $4,895.72	Professional		$282.91	$503.51	$4,895.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,301.73 / $3,902.02 / $5,497.16	Professional		$2,301.73	$3,902.02	$5,497.16