Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $3,563.00 / $5,751.62	Facility		$203.80	$3,563.00	$5,751.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $408.19 / $2,030.00	Professional		$78.73	$408.19	$2,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $348.69 / $1,106.52	Professional		$148.61	$348.69	$1,106.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $337.07 / $885.21	Professional		$156.91	$337.07	$885.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $337.07 / $1,292.00	Facility		$117.53	$337.07	$1,292.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $565.74 / $1,124.60	Professional		$132.36	$565.74	$1,124.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.49 / $698.17 / $883.06	Facility		$165.49	$698.17	$883.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $632.57 / $1,270.73	Facility		$117.53	$632.57	$1,270.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $471.76 / $1,067.65	Professional		$162.50	$471.76	$1,067.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $288.05 / $1,064.04	Professional		$161.85	$288.05	$1,064.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.96 / $942.71 / $1,245.81	Professional		$674.96	$942.71	$1,245.81