Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $2,747.00 / $7,920.26	Facility		$122.76	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $515.20 / $563.20	Professional		$154.40	$515.20	$563.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.31 / $1,313.03 / $1,828.27	Professional		$955.31	$1,313.03	$1,828.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.28 / $1,244.68 / $1,401.93	Professional		$997.28	$1,244.68	$1,401.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $547.16 / $574.52 / $1,176.39	Facility		$547.16	$574.52	$1,176.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.95 / $992.32 / $1,102.15	Facility		$629.95	$992.32	$1,102.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.16 / $711.90 / $1,176.39	Facility		$547.16	$711.90	$1,176.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $955.31 / $1,309.00 / $1,707.40	Professional		$955.31	$1,309.00	$1,707.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $608.69 / $745.96	Facility		$468.03	$608.69	$745.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $947.15 / $1,349.72 / $1,641.33	Professional		$947.15	$1,349.72	$1,641.33
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