Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.72 / $2,747.00 / $7,920.26	Facility		$424.72	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $288.07 / $662.21	Professional		$207.01	$288.07	$662.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.32 / $430.16 / $595.51	Professional		$259.32	$430.16	$595.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $440.80 / $538.54	Professional		$335.70	$440.80	$538.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.19 / $394.68 / $619.23	Facility		$230.19	$394.68	$619.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $336.24 / $380.06 / $614.94	Professional		$336.24	$380.06	$614.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.30 / $408.94 / $421.60	Facility		$303.30	$408.94	$421.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.98 / $447.20 / $619.23	Facility		$240.98	$447.20	$619.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.62 / $455.96 / $595.51	Professional		$364.62	$455.96	$595.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,109.09 / $1,109.09 / $1,109.09	Facility		$1,109.09	$1,109.09	$1,109.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $383.16 / $488.59 / $590.29	Professional		$383.16	$488.59	$590.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $459.37 / $645.44	Professional		$317.11	$459.37	$645.44