Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.56 / $4,962.67 / $15,341.00	Facility		$465.56	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $285.89 / $663.02	Professional		$199.28	$285.89	$663.02
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 $261.56 / $407.40 / $627.40	Professional		$261.56	$407.40	$627.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.05 / $456.46 / $541.09	Professional		$385.05	$456.46	$541.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.61 / $399.28 / $538.04	Facility		$271.61	$399.28	$538.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.18 / $378.75 / $561.57	Professional		$343.18	$378.75	$561.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $310.56 / $410.79 / $429.47	Facility		$310.56	$410.79	$429.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $419.04 / $2,402.00	Facility		$285.89	$419.04	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.77 / $438.63 / $596.03	Professional		$381.77	$438.63	$596.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.39 / $497.96 / $669.26	Professional		$392.39	$497.96	$669.26
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 $309.20 / $437.24 / $678.77	Professional		$309.20	$437.24	$678.77