Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.30 / $4,684.68 / $8,728.00	Facility		$239.30	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $176.30 / $511.96	Professional		$105.07	$176.30	$511.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.20 / $222.20 / $1,937.44	Facility		$222.20	$222.20	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $280.02 / $503.90	Professional		$156.55	$280.02	$503.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $300.83 / $460.12	Professional		$206.21	$300.83	$460.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $264.06 / $425.00	Facility		$152.63	$264.06	$425.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $277.16 / $450.10	Professional		$175.16	$277.16	$450.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.22 / $324.95 / $378.55	Facility		$198.22	$324.95	$378.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.06 / $274.24 / $485.68	Facility		$159.06	$274.24	$485.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $305.89 / $486.85	Professional		$202.88	$305.89	$486.85
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 $203.67 / $321.02 / $499.55	Professional		$203.67	$321.02	$499.55
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 $244.49 / $350.00 / $596.55	Professional		$244.49	$350.00	$596.55