Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.91 / $4,283.46 / $8,728.00	Facility		$234.91	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $166.80 / $466.20	Professional		$107.03	$166.80	$466.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $163.72 / $1,937.44	Facility		$163.72	$163.72	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $268.88 / $403.41	Professional		$149.01	$268.88	$403.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.95 / $282.86 / $364.23	Professional		$205.95	$282.86	$364.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.21 / $249.69 / $399.23	Facility		$145.21	$249.69	$399.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $251.90 / $362.16	Professional		$173.91	$251.90	$362.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $277.89 / $315.24	Facility		$178.94	$277.89	$315.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.30 / $249.69 / $411.40	Facility		$146.30	$249.69	$411.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.89 / $286.38 / $396.38	Professional		$201.89	$286.38	$396.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,635.42 / $2,179.07	Facility		$1,245.03	$1,635.42	$2,179.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.58 / $287.45 / $413.18	Professional		$204.58	$287.45	$413.18
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $328.02 / $465.36	Professional		$227.51	$328.02	$465.36