Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $2,747.00 / $7,920.26	Facility		$101.91	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $853.02 / $2,940.43	Professional		$62.10	$853.02	$2,940.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $863.16 / $2,521.38	Professional		$95.04	$863.16	$2,521.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $780.09 / $2,073.10	Professional		$94.79	$780.09	$2,073.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $780.09 / $2,387.65	Facility		$65.83	$780.09	$2,387.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $1,307.08 / $2,598.32	Professional		$80.59	$1,307.08	$2,598.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $1,537.86 / $1,888.06	Facility		$99.83	$1,537.86	$1,888.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $1,384.26 / $2,387.65	Facility		$65.83	$1,384.26	$2,387.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $1,124.06 / $2,461.92	Professional		$99.28	$1,124.06	$2,461.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $170.53 / $2,474.87	Professional		$95.82	$170.53	$2,474.87
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 $1,437.17 / $2,005.76 / $2,772.76	Professional		$1,437.17	$2,005.76	$2,772.76