Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.33 / $4,704.00 / $8,728.00	Facility		$918.33	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.29 / $571.47 / $1,492.01	Professional		$377.29	$571.47	$1,492.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.65 / $155.65 / $213.71	Facility		$155.65	$155.65	$213.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.96 / $798.27 / $1,137.06	Professional		$418.96	$798.27	$1,137.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.43 / $873.77 / $1,082.75	Professional		$665.43	$873.77	$1,082.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.55 / $750.12 / $1,141.26	Facility		$433.55	$750.12	$1,141.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $619.38 / $727.26 / $1,224.96	Professional		$619.38	$727.26	$1,224.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $485.01 / $785.91 / $835.49	Facility		$485.01	$785.91	$835.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.55 / $825.30 / $1,141.26	Facility		$440.55	$825.30	$1,141.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $892.60 / $1,145.11	Professional		$682.50	$892.60	$1,145.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $710.18 / $914.40	Facility		$555.45	$710.18	$914.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $761.41 / $967.72 / $1,173.01	Professional		$761.41	$967.72	$1,173.01
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 $574.77 / $833.53 / $1,292.11	Professional		$574.77	$833.53	$1,292.11