Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $676.08 / $7,943.28	Facility		$123.03	$676.08	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $707.95	Professional		$263.03	$489.78	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $1,621.81	Professional		$562.34	$1,122.02	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,380.38	Professional		$812.83	$1,047.13	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $5,011.87	Facility		$446.68	$616.60	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $549.54 / $912.01	Professional		$263.03	$549.54	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,096.48	Facility		$724.44	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $912.01	Facility		$478.63	$630.96	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $562.34 / $1,412.54	Professional		$70.79	$562.34	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $741.31	Facility		$467.74	$630.96	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,479.11	Professional		$954.99	$1,122.02	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95