Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $4,684.68 / $8,728.00	Facility		$296.27	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $155.38 / $425.00	Professional		$107.15	$155.38	$425.00
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 $142.94 / $248.79 / $366.06	Professional		$142.94	$248.79	$366.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $293.10 / $351.64	Professional		$249.32	$293.10	$351.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.23 / $225.13 / $403.36	Facility		$178.23	$225.13	$403.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.10 / $233.74 / $427.58	Professional		$200.10	$233.74	$427.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.31 / $245.91 / $270.68	Facility		$162.31	$245.91	$270.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.23 / $257.02 / $403.36	Facility		$178.23	$257.02	$403.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.10 / $271.32 / $370.99	Professional		$221.10	$271.32	$370.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $317.30 / $423.80	Professional		$247.24	$317.30	$423.80
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 $176.17 / $246.56 / $396.85	Professional		$176.17	$246.56	$396.85