Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $4,365.16 / $5,011.87	Facility		$204.17	$4,365.16	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $281.84 / $1,862.09	Professional		$89.13	$281.84	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $436.52	Professional		$338.84	$407.38	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $5,011.87	Facility		$281.84	$616.60	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $1,513.56 / $1,862.09	Professional		$114.82	$1,513.56	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $371.54	Facility		$204.17	$204.17	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $2,187.76	Facility		$281.84	$407.38	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $457.09	Professional		$79.43	$147.91	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,630.27	Professional		$2,187.76	$2,187.76	$2,630.27