Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.77 / $5,649.00 / $15,341.00	Facility		$405.77	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $242.97 / $486.21	Professional		$166.45	$242.97	$486.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $210.83	Facility		$210.83	$210.83	$210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.55 / $352.00 / $518.82	Professional		$221.55	$352.00	$518.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.93 / $420.63 / $473.58	Professional		$349.93	$420.63	$473.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.41 / $322.61 / $470.18	Facility		$182.41	$322.61	$470.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.75 / $347.52 / $543.00	Professional		$296.75	$347.52	$543.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.11 / $357.11 / $369.17	Facility		$264.11	$357.11	$369.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.72 / $340.12 / $468.52	Facility		$189.72	$340.12	$468.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $398.10 / $523.45	Professional		$298.27	$398.10	$523.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $332.72 / $397.48 / $517.34	Professional		$332.72	$397.48	$517.34
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 $194.52 / $356.15 / $557.10	Professional		$194.52	$356.15	$557.10