Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.02 / $2,747.00 / $7,920.26	Facility		$193.02	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $160.19 / $452.63	Professional		$69.29	$160.19	$452.63
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 $109.64 / $225.71 / $622.53	Professional		$109.64	$225.71	$622.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $224.33 / $562.15	Professional		$179.07	$224.33	$562.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.56 / $251.65 / $451.70	Facility		$122.56	$251.65	$451.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $263.31 / $516.91	Professional		$129.32	$263.31	$516.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.52 / $333.20 / $471.68	Facility		$143.52	$333.20	$471.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.56 / $331.40 / $608.39	Facility		$122.56	$331.40	$608.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $264.00 / $614.46	Professional		$148.32	$264.00	$614.46
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 $163.82 / $288.35 / $671.78	Professional		$163.82	$288.35	$671.78
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 $286.00 / $443.52 / $727.65	Professional		$286.00	$443.52	$727.65