Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.62 / $2,747.00 / $7,920.26	Facility		$389.62	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $260.14 / $617.70	Professional		$184.58	$260.14	$617.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.04 / $378.96 / $606.75	Professional		$249.04	$378.96	$606.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.67 / $424.05 / $502.61	Professional		$357.67	$424.05	$502.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.14 / $369.15 / $498.15	Facility		$260.14	$369.15	$498.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $360.99 / $541.49	Professional		$324.80	$360.99	$541.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $381.62 / $413.39	Facility		$294.58	$381.62	$413.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.14 / $371.22 / $527.73	Facility		$260.14	$371.22	$527.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.05 / $416.06 / $566.92	Professional		$362.05	$416.06	$566.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $378.24 / $481.57 / $647.23	Professional		$378.24	$481.57	$647.23
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 $298.49 / $408.45 / $637.15	Professional		$298.49	$408.45	$637.15