Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $131.66 / $187.22	Professional		$111.44	$131.66	$187.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.80 / $1,131.80 / $1,664.70	Facility		$1,131.80	$1,131.80	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $253.20 / $362.87	Professional		$144.69	$253.20	$362.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.43 / $255.31 / $316.14	Professional		$194.43	$255.31	$316.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $219.18 / $312.00	Facility		$166.91	$219.18	$312.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $258.02 / $1,967.04	Professional		$17.55	$258.02	$1,967.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $236.85 / $247.23	Facility		$148.34	$236.85	$247.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.08 / $228.78 / $342.42	Facility		$154.08	$228.78	$342.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.70 / $270.88 / $362.87	Professional		$166.70	$270.88	$362.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,969.54 / $6,039.89	Facility		$3,709.94	$4,969.54	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $288.00 / $360.50	Professional		$227.56	$288.00	$360.50
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 $179.00 / $249.55 / $386.17	Professional		$179.00	$249.55	$386.17