Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.83 / $4,962.67 / $15,341.00	Facility		$390.83	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $240.26 / $555.90	Professional		$167.44	$240.26	$555.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $344.40 / $526.11	Professional		$218.74	$344.40	$526.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.27 / $382.10 / $452.89	Professional		$322.27	$382.10	$452.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.25 / $329.16 / $437.40	Facility		$228.25	$329.16	$437.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.10 / $313.24 / $469.85	Professional		$258.10	$313.24	$469.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $319.64 / $358.45	Facility		$212.66	$319.64	$358.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.26 / $339.48 / $2,402.00	Facility		$240.26	$339.48	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $364.48 / $498.20	Professional		$293.70	$364.48	$498.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $329.66 / $417.57 / $561.22	Professional		$329.66	$417.57	$561.22
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.34 / $356.59 / $570.26	Professional		$243.34	$356.59	$570.26