Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $4,684.68 / $8,728.00	Facility		$301.51	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $583.96 / $1,524.12	Professional		$166.55	$583.96	$1,524.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $524.08 / $1,403.28	Professional		$255.00	$524.08	$1,403.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $449.99 / $1,174.09	Professional		$257.60	$449.99	$1,174.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.90 / $449.99 / $1,724.74	Facility		$193.90	$449.99	$1,724.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $757.88 / $1,483.23	Professional		$219.35	$757.88	$1,483.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.56 / $932.08 / $1,192.59	Facility		$290.56	$932.08	$1,192.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.90 / $814.89 / $1,644.14	Facility		$193.90	$814.89	$1,644.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.42 / $610.90 / $1,396.46	Professional		$273.42	$610.90	$1,396.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $467.79 / $1,382.40	Professional		$262.83	$467.79	$1,382.40
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 $925.59 / $1,195.10 / $1,619.47	Professional		$925.59	$1,195.10	$1,619.47