Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.59 / $4,684.68 / $8,728.00	Facility		$363.59	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $802.25 / $1,843.79	Professional		$155.50	$802.25	$1,843.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.17 / $556.04 / $1,644.68	Professional		$264.17	$556.04	$1,644.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.35 / $463.32 / $1,437.24	Professional		$315.35	$463.32	$1,437.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $549.86 / $1,900.82	Facility		$217.74	$549.86	$1,900.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $929.20 / $1,847.13	Professional		$271.66	$929.20	$1,847.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.06 / $1,138.94 / $1,397.64	Facility		$325.06	$1,138.94	$1,397.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $884.10 / $1,900.82	Facility		$217.74	$884.10	$1,900.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.64 / $764.21 / $1,696.89	Professional		$320.64	$764.21	$1,696.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $577.25 / $1,606.96	Professional		$323.95	$577.25	$1,606.96
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 $1,088.08 / $1,544.76 / $1,882.57	Professional		$1,088.08	$1,544.76	$1,882.57