Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.84 / $4,283.46 / $8,728.00	Facility		$203.84	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $146.58 / $379.78	Professional		$87.68	$146.58	$379.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.51 / $210.51 / $1,937.44	Facility		$210.51	$210.51	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $241.59 / $454.26	Professional		$130.28	$241.59	$454.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $258.95 / $416.18	Professional		$176.25	$258.95	$416.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.21 / $222.44 / $376.55	Facility		$128.21	$222.44	$376.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $235.11 / $407.58	Professional		$148.91	$235.11	$407.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.21 / $286.76 / $339.69	Facility		$166.21	$286.76	$339.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $232.64 / $437.63	Facility		$128.82	$232.64	$437.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $265.33 / $437.63	Professional		$170.50	$265.33	$437.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,069.32	Facility		$3,868.81	$5,124.10	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $279.02 / $448.80	Professional		$173.80	$279.02	$448.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.09 / $305.68 / $528.35	Professional		$221.09	$305.68	$528.35