Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.72 / $3,213.00 / $8,728.00	Facility		$293.72	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $188.94 / $456.33	Professional		$159.18	$188.94	$456.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $344.82 / $523.16	Professional		$219.54	$344.82	$523.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.48 / $387.09 / $460.19	Professional		$327.48	$387.09	$460.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $339.48 / $444.55	Facility		$238.80	$339.48	$444.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.48 / $326.74 / $496.54	Professional		$284.48	$326.74	$496.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.20 / $348.35 / $358.45	Facility		$259.20	$348.35	$358.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $354.96 / $1,794.00	Facility		$238.80	$354.96	$1,794.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $366.30 / $498.16	Professional		$324.00	$366.30	$498.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $415.23 / $558.07	Professional		$327.20	$415.23	$558.07
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 $252.96 / $371.96 / $551.15	Professional		$252.96	$371.96	$551.15