Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.08 / $4,684.68 / $8,728.00	Facility		$323.08	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $305.76 / $823.73	Professional		$139.10	$305.76	$823.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $243.65	Facility		$243.65	$243.65	$243.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.94 / $399.06 / $862.14	Professional		$238.94	$399.06	$862.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $367.34 / $745.73	Professional		$288.57	$367.34	$745.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $391.03 / $779.14	Facility		$184.25	$391.03	$779.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.57 / $485.15 / $815.69	Professional		$240.57	$485.15	$815.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.95 / $597.72 / $639.85	Facility		$326.95	$597.72	$639.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $414.96 / $823.65	Facility		$184.25	$414.96	$823.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.55 / $450.40 / $864.16	Professional		$291.55	$450.40	$864.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $496.60 / $851.84	Professional		$279.02	$496.60	$851.84
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 $344.66 / $657.53 / $1,002.85	Professional		$344.66	$657.53	$1,002.85