Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.66 / $4,684.68 / $8,728.00	Facility		$309.66	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $586.94 / $1,160.33	Professional		$142.86	$586.94	$1,160.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $456.62 / $1,206.28	Professional		$225.85	$456.62	$1,206.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $390.25 / $1,046.35	Professional		$265.61	$390.25	$1,046.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.84 / $406.01 / $1,498.97	Facility		$188.84	$406.01	$1,498.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.97 / $679.95 / $1,351.66	Professional		$228.97	$679.95	$1,351.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $832.01 / $1,049.89	Facility		$273.77	$832.01	$1,049.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.84 / $706.36 / $1,498.97	Facility		$188.84	$706.36	$1,498.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.72 / $616.08 / $1,356.60	Professional		$270.72	$616.08	$1,356.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $487.38 / $1,256.39	Professional		$273.85	$487.38	$1,256.39
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 $830.51 / $1,144.99 / $1,475.32	Professional		$830.51	$1,144.99	$1,475.32