Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $4,962.67 / $15,341.00	Facility		$537.00	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.04 / $495.90 / $816.24	Professional		$359.04	$495.90	$816.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.27 / $676.94 / $990.77	Professional		$490.27	$676.94	$990.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $503.75 / $627.60	Professional		$275.02	$503.75	$627.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.37 / $636.50 / $1,364.33	Facility		$272.37	$636.50	$1,364.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.41 / $697.82 / $891.00	Professional		$363.41	$697.82	$891.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.21 / $718.03 / $1,020.41	Facility		$439.21	$718.03	$1,020.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.33 / $684.76 / $1,754.92	Facility		$295.33	$684.76	$1,754.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.68 / $595.65 / $1,046.29	Professional		$407.68	$595.65	$1,046.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $516.63 / $924.66	Professional		$391.77	$516.63	$924.66
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 $637.26 / $885.78 / $1,321.65	Professional		$637.26	$885.78	$1,321.65