Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.52 / $4,962.67 / $15,341.00	Facility		$300.52	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $211.33 / $489.21	Professional		$134.22	$211.33	$489.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.62 / $255.62 / $2,310.00	Facility		$255.62	$255.62	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.37 / $347.30 / $588.12	Professional		$193.37	$347.30	$588.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.41 / $359.35 / $534.42	Professional		$259.41	$359.35	$534.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.73 / $339.39 / $536.80	Facility		$191.73	$339.39	$536.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $342.72 / $518.87	Professional		$224.00	$342.72	$518.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $399.26 / $439.52	Facility		$231.42	$399.26	$439.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.73 / $344.22 / $562.91	Facility		$191.73	$344.22	$562.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.39 / $379.96 / $570.72	Professional		$257.39	$379.96	$570.72
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 $260.64 / $403.46 / $591.95	Professional		$260.64	$403.46	$591.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $9,858.06	Facility		$1,472.00	$5,130.00	$9,858.06
United Facility/Professional Professional Modifier Low / Median / High Price $303.81 / $444.24 / $679.62	Professional		$303.81	$444.24	$679.62