Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.67 / $8,878.56 / $20,400.00	Facility		$513.67	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $249.55 / $1,228.07	Professional		$220.09	$249.55	$1,228.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $521.88 / $710.98	Professional		$330.00	$521.88	$710.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.36 / $530.02 / $596.75	Professional		$372.36	$530.02	$596.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.55 / $456.09 / $600.71	Facility		$249.55	$456.09	$600.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $429.65 / $768.14	Professional		$363.00	$429.65	$768.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.57 / $428.37 / $484.41	Facility		$320.57	$428.37	$484.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.55 / $478.91 / $616.97	Facility		$249.55	$478.91	$616.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.35 / $557.03 / $710.98	Professional		$406.35	$557.03	$710.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,247.48 / $1,247.48 / $1,247.48	Facility		$1,247.48	$1,247.48	$1,247.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $442.21 / $593.22 / $758.43	Professional		$442.21	$593.22	$758.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.97 / $519.16 / $764.95	Professional		$365.97	$519.16	$764.95