Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $1,910.90 / $6,629.40	Facility		$126.05	$1,910.90	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $217.29 / $593.77	Professional		$56.10	$217.29	$593.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $204.77 / $611.83	Professional		$90.03	$204.77	$611.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $202.82 / $532.90	Professional		$118.27	$202.82	$532.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.14 / $223.40 / $534.79	Facility		$80.14	$223.40	$534.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $340.51 / $489.56	Professional		$96.79	$340.51	$489.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $420.11 / $470.94	Facility		$119.26	$420.11	$470.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.14 / $357.59 / $587.64	Facility		$80.14	$357.59	$587.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $283.37 / $592.78	Professional		$108.16	$283.37	$592.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $194.72 / $638.62	Professional		$109.08	$194.72	$638.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.39 / $466.45 / $698.73	Professional		$326.39	$466.45	$698.73