Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.09 / $4,684.68 / $8,728.00	Facility		$559.09	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $409.28 / $921.05	Professional		$227.21	$409.28	$921.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $515.21 / $721.29	Professional	50	$300.00	$515.21	$721.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $575.99 / $1,090.08	Professional		$312.70	$575.99	$1,090.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.47 / $591.74 / $1,001.11	Professional		$409.47	$591.74	$1,001.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $555.04 / $1,005.52	Facility		$323.00	$555.04	$1,005.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $675.75 / $968.41	Professional		$408.00	$675.75	$968.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.48 / $783.90 / $868.32	Facility		$468.48	$783.90	$868.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.92 / $637.83 / $1,110.38	Facility		$329.92	$637.83	$1,110.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $667.04 / $1,032.19	Professional		$459.00	$667.04	$1,032.19
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 $458.19 / $705.89 / $1,132.25	Professional		$458.19	$705.89	$1,132.25
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 $518.58 / $785.92 / $1,257.47	Professional		$518.58	$785.92	$1,257.47