Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.21 / $559.21 / $1,118.42	Facility		$559.21	$559.21	$1,118.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.14 / $464.14 / $1,200.06	Professional		$464.14	$464.14	$1,200.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.66 / $950.66 / $950.66	Facility		$950.66	$950.66	$950.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $250.70 / $300.42	Professional		$112.58	$250.70	$300.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.94 / $615.13 / $997.90	Facility		$249.94	$615.13	$997.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $166.70 / $255.58	Professional		$5.54	$166.70	$255.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $596.48 / $79,999.20 / $79,999.20	Facility		$596.48	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.14 / $615.13 / $997.90	Facility		$464.14	$615.13	$997.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $475.33 / $582.51	Professional		$233.26	$475.33	$582.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $583.92 / $1,599.47	Facility		$13.71	$583.92	$1,599.47
United Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $8.73 / $10.22	Facility		$8.73	$8.73	$10.22
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $535.91	Professional		$466.01	$466.01	$535.91