Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,073.80 / $6,606.93	Facility		$354.81	$4,073.80	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $891.25 / $3,548.13	Professional		$181.97	$891.25	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,621.81 / $5,370.32	Professional		$263.03	$1,621.81	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,778.28 / $4,466.84	Professional		$295.12	$1,778.28	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,862.09 / $4,786.30	Facility		$213.80	$1,862.09	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,905.46 / $4,570.88	Professional		$269.15	$1,905.46	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $3,715.35	Facility		$2,511.89	$3,467.37	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,819.70 / $4,168.69	Facility		$204.17	$1,819.70	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $478.63 / $4,677.35	Professional		$79.43	$478.63	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $4,570.88	Professional		$338.84	$602.56	$4,570.88
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 $281.84 / $1,584.89 / $4,786.30	Professional		$281.84	$1,584.89	$4,786.30