Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.83 / $7,920.26 / $20,400.00	Facility		$422.83	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.63 / $260.08 / $603.48	Professional		$175.63	$260.08	$603.48
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 $237.67 / $370.29 / $571.34	Professional		$237.67	$370.29	$571.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.72 / $414.59 / $491.45	Professional		$349.72	$414.59	$491.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.68 / $356.32 / $440.64	Facility		$245.68	$356.32	$440.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $345.00 / $510.03	Professional		$297.99	$345.00	$510.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.06 / $345.09 / $389.27	Facility		$248.06	$345.09	$389.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.08 / $374.67 / $2,748.00	Facility		$260.08	$374.67	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $396.51 / $540.50	Professional		$337.92	$396.51	$540.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.10 / $453.47 / $609.47	Professional		$356.10	$453.47	$609.47
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 $273.83 / $390.99 / $616.01	Professional		$273.83	$390.99	$616.01