Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.38 / $4,704.00 / $14,854.27	Facility		$460.38	$4,704.00	$14,854.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $158.56 / $501.60	Professional		$111.90	$158.56	$501.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $225.81 / $344.18	Professional		$143.43	$225.81	$344.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $252.96 / $303.48	Professional		$217.15	$252.96	$303.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.83 / $210.18 / $290.50	Facility		$163.83	$210.18	$290.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.92 / $244.92 / $323.30	Professional		$244.92	$244.92	$323.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $227.34 / $234.50	Facility		$192.50	$227.34	$234.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.83 / $196.60 / $290.50	Facility		$163.83	$196.60	$290.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.35 / $245.46 / $357.02	Professional		$164.35	$245.46	$357.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $273.18 / $367.15	Professional		$215.26	$273.18	$367.15
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $240.10 / $368.82	Professional		$167.58	$240.10	$368.82