Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.70 / $4,684.68 / $8,728.00	Facility		$533.70	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $327.74 / $760.42	Professional		$228.43	$327.74	$760.42
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 $299.45 / $482.30 / $719.83	Professional		$299.45	$482.30	$719.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.95 / $522.75 / $619.65	Professional		$440.95	$522.75	$619.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.74 / $457.56 / $633.41	Facility		$327.74	$457.56	$633.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.82 / $448.26 / $642.79	Professional		$392.82	$448.26	$642.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $352.23 / $470.44 / $495.72	Facility		$352.23	$470.44	$495.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.74 / $492.48 / $1,794.00	Facility		$327.74	$492.48	$1,794.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $445.25 / $504.90 / $682.09	Professional		$445.25	$504.90	$682.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $571.33 / $767.87	Professional		$449.59	$571.33	$767.87
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 $370.77 / $498.87 / $770.49	Professional		$370.77	$498.87	$770.49