Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.22 / $7,920.26 / $20,400.00	Facility		$373.22	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $230.22 / $452.80	Professional		$153.78	$230.22	$452.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $327.64 / $504.47	Professional		$210.07	$327.64	$504.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $366.31 / $434.20	Professional		$308.98	$366.31	$434.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.71 / $320.55 / $416.50	Facility		$218.71	$320.55	$416.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $308.57 / $450.66	Professional		$275.39	$308.57	$450.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.62 / $315.11 / $343.71	Facility		$230.62	$315.11	$343.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.22 / $338.40 / $2,748.00	Facility		$230.22	$338.40	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.94 / $351.23 / $478.55	Professional		$302.94	$351.23	$478.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $400.40 / $538.14	Professional		$314.27	$400.40	$538.14
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 $247.45 / $353.50 / $538.58	Professional		$247.45	$353.50	$538.58