Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.35 / $4,962.67 / $15,341.00	Facility		$404.35	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $323.23 / $959.30	Professional		$181.19	$323.23	$959.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $213.71 / $2,310.00	Facility		$213.71	$213.71	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.99 / $460.79 / $837.07	Professional		$251.99	$460.79	$837.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $496.69 / $759.37	Professional		$347.94	$496.69	$759.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $429.50 / $736.95	Facility		$231.75	$429.50	$736.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.27 / $467.67 / $752.05	Professional		$297.27	$467.67	$752.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $554.76 / $631.80	Facility		$297.33	$554.76	$631.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.71 / $456.45 / $819.49	Facility		$239.71	$456.45	$819.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.18 / $520.73 / $829.90	Professional		$345.18	$520.73	$829.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $744.03 / $967.39	Facility		$555.45	$744.03	$967.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $348.51 / $542.80 / $852.84	Professional		$348.51	$542.80	$852.84
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.49 / $625.26 / $1,016.01	Professional		$417.49	$625.26	$1,016.01