Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.91 / $4,684.68 / $8,728.00	Facility		$384.91	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $1,515.38 / $5,761.12	Professional		$213.17	$1,515.38	$5,761.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.75 / $1,811.73 / $5,281.73	Professional		$324.75	$1,811.73	$5,281.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.99 / $1,680.26 / $4,449.67	Professional		$328.99	$1,680.26	$4,449.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.61 / $1,680.26 / $4,771.67	Facility		$224.61	$1,680.26	$4,771.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $2,561.85 / $5,601.91	Professional		$280.20	$2,561.85	$5,601.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.12 / $3,222.01 / $3,680.98	Facility		$339.12	$3,222.01	$3,680.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.61 / $2,738.04 / $4,782.18	Facility		$224.61	$2,738.04	$4,782.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.72 / $2,343.82 / $5,229.54	Professional		$338.72	$2,343.82	$5,229.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $597.99 / $5,280.42	Professional		$336.00	$597.99	$5,280.42
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 $2,810.60 / $3,783.50 / $5,929.10	Professional		$2,810.60	$3,783.50	$5,929.10