Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.81 / $5,116.62 / $7,920.26	Facility		$201.81	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $218.14 / $911.82	Professional		$83.11	$218.14	$911.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $147.18 / $147.18	Facility		$147.18	$147.18	$147.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $266.50 / $1,781.51	Professional		$139.10	$266.50	$1,781.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $419.25 / $1,672.74	Professional		$176.87	$419.25	$1,672.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.85 / $250.60 / $1,195.26	Facility		$100.85	$250.60	$1,195.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $311.24 / $1,532.68	Professional		$152.54	$311.24	$1,532.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $734.99 / $1,381.54	Facility		$177.55	$734.99	$1,381.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.56 / $309.24 / $1,385.91	Facility		$116.56	$309.24	$1,385.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.16 / $360.73 / $1,740.40	Professional		$166.16	$360.73	$1,740.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $310.83 / $1,744.45	Professional		$170.14	$310.83	$1,744.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $10,803.00 / $36,803.00	Facility		$2,364.00	$10,803.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $981.88 / $2,030.10	Professional		$448.26	$981.88	$2,030.10