Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.99 / $1,486.00 / $10,506.23	Facility		$357.99	$1,486.00	$10,506.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $282.88 / $738.64	Professional		$148.47	$282.88	$738.64
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 $244.29 / $428.70 / $822.73	Professional		$244.29	$428.70	$822.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $436.28 / $742.84	Professional		$339.12	$436.28	$742.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.15 / $430.62 / $678.78	Facility		$227.15	$430.62	$678.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $462.26 / $684.88	Professional		$263.64	$462.26	$684.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.08 / $535.14 / $613.72	Facility		$297.08	$535.14	$613.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.15 / $453.28 / $787.74	Facility		$227.15	$453.28	$787.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.42 / $473.36 / $797.74	Professional		$298.42	$473.36	$797.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $307.39 / $517.98 / $857.32	Professional		$307.39	$517.98	$857.32
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 $406.21 / $558.82 / $893.99	Professional		$406.21	$558.82	$893.99