Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $4,962.67 / $15,341.00	Facility		$245.40	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $181.96 / $505.79	Professional		$107.67	$181.96	$505.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.53 / $220.53 / $2,310.00	Facility		$220.53	$220.53	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $287.10 / $505.15	Professional		$156.10	$287.10	$505.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $301.95 / $461.48	Professional		$212.02	$301.95	$461.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.31 / $273.07 / $431.80	Facility		$156.31	$273.07	$431.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $271.80 / $453.65	Professional		$180.38	$271.80	$453.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.59 / $330.98 / $379.89	Facility		$198.59	$330.98	$379.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $279.64 / $485.68	Facility		$162.47	$279.64	$485.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $311.04 / $491.33	Professional		$208.74	$311.04	$491.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.91 / $325.33 / $508.82	Professional		$210.91	$325.33	$508.82
United Facility/Professional Facility Modifier Low / Median / High Price $227.36 / $5,130.00 / $7,233.00	Facility		$227.36	$5,130.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.49 / $353.50 / $596.55	Professional		$247.49	$353.50	$596.55