Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.48 / $2,747.00 / $7,920.26	Facility		$356.48	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $240.44 / $634.77	Professional		$154.11	$240.44	$634.77
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 $240.59 / $415.68 / $686.67	Professional		$240.59	$415.68	$686.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.60 / $427.45 / $619.97	Professional		$338.60	$427.45	$619.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.89 / $371.73 / $575.44	Facility		$225.89	$371.73	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $405.09 / $576.95	Professional		$266.80	$405.09	$576.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.30 / $464.10 / $513.22	Facility		$288.30	$464.10	$513.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.89 / $371.73 / $624.75	Facility		$225.89	$371.73	$624.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.12 / $446.27 / $658.76	Professional		$300.12	$446.27	$658.76
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 $303.20 / $464.96 / $706.50	Professional		$303.20	$464.96	$706.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,758.00 / $7,480.00	Facility		$1,106.00	$3,758.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.78 / $499.79 / $778.61	Professional		$353.78	$499.79	$778.61