Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.39 / $4,962.67 / $15,341.00	Facility		$285.39	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $167.13 / $408.85	Professional		$107.96	$167.13	$408.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $248.72 / $390.03	Professional		$144.41	$248.72	$390.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.75 / $319.48 / $383.29	Professional		$272.75	$319.48	$383.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $238.71 / $317.06	Facility		$165.00	$238.71	$317.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $244.45 / $400.01	Professional		$198.13	$244.45	$400.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.54 / $238.00 / $263.31	Facility		$169.54	$238.00	$263.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $249.52 / $2,919.00	Facility		$167.71	$249.52	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.78 / $267.44 / $362.44	Professional		$217.78	$267.44	$362.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $306.74 / $412.26	Professional		$239.25	$306.74	$412.26
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 $176.72 / $263.20 / $410.00	Professional		$176.72	$263.20	$410.00