Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,202.26 / $6,606.93	Facility		$302.00	$1,202.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $446.68 / $1,096.48	Professional		$144.54	$446.68	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $512.86 / $1,513.56	Professional		$204.17	$512.86	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $1,174.90	Professional		$234.42	$467.74	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $537.03 / $1,737.80	Facility		$169.82	$537.03	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $602.56 / $1,258.93	Professional		$218.78	$602.56	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $1,348.96	Facility		$741.31	$933.25	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $489.78 / $1,174.90	Facility		$158.49	$489.78	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $1,318.26	Professional		$79.43	$380.19	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $1,230.27	Professional		$269.15	$467.74	$1,230.27
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 $234.42 / $537.03 / $1,479.11	Professional		$234.42	$537.03	$1,479.11