Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.54 / $4,684.68 / $8,728.00	Facility		$270.54	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $225.14 / $641.52	Professional		$121.99	$225.14	$641.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.35 / $277.35 / $1,664.70	Facility		$277.35	$277.35	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $323.02 / $597.53	Professional		$180.49	$323.02	$597.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.85 / $345.05 / $542.54	Professional		$234.85	$345.05	$542.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.21 / $301.27 / $539.75	Facility		$183.21	$301.27	$539.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $330.24 / $529.67	Professional		$197.47	$330.24	$529.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.39 / $402.38 / $444.88	Facility		$220.39	$402.38	$444.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.51 / $309.39 / $570.64	Facility		$184.51	$309.39	$570.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $359.15 / $578.54	Professional		$230.30	$359.15	$578.54
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 $229.60 / $384.98 / $601.07	Professional		$229.60	$384.98	$601.07
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 $314.67 / $458.05 / $688.94	Professional		$314.67	$458.05	$688.94