Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.48 / $2,747.00 / $8,728.00	Facility		$291.48	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $241.75 / $704.41	Professional		$145.11	$241.75	$704.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.32 / $316.32 / $1,937.44	Facility		$316.32	$316.32	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.33 / $383.91 / $705.07	Professional		$211.33	$383.91	$705.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $410.41 / $636.60	Professional		$279.33	$410.41	$636.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.42 / $359.64 / $629.00	Facility		$210.42	$359.64	$629.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.90 / $397.29 / $624.29	Professional		$235.90	$397.29	$624.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.84 / $472.15 / $527.29	Facility		$255.84	$472.15	$527.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.42 / $385.05 / $679.62	Facility		$210.42	$385.05	$679.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.12 / $430.65 / $688.25	Professional		$277.12	$430.65	$688.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $278.30 / $460.47 / $720.56	Professional		$278.30	$460.47	$720.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.18 / $506.35 / $820.52	Professional		$343.18	$506.35	$820.52