Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,318.26 / $6,606.93	Facility		$331.13	$1,318.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $630.96 / $1,318.26	Professional		$165.96	$630.96	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $1,698.24	Professional		$263.03	$562.34	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $1,479.11	Professional		$281.84	$426.58	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $831.76 / $5,011.87	Facility		$218.78	$831.76	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $933.25 / $1,698.24	Professional		$263.03	$933.25	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,621.81	Facility		$954.99	$1,148.15	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $588.84 / $1,412.54	Facility		$208.93	$588.84	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $1,584.89	Professional		$79.43	$457.09	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,479.11	Professional		$323.59	$575.44	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $758.58 / $1,819.70	Professional		$269.15	$758.58	$1,819.70