Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.54 / $4,283.46 / $8,728.00	Facility		$319.54	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.77 / $234.12 / $633.84	Professional		$145.77	$234.12	$633.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.41 / $258.41 / $1,937.44	Facility		$258.41	$258.41	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $370.53 / $610.47	Professional		$213.86	$370.53	$610.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $371.11 / $551.17	Professional		$268.52	$371.11	$551.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.89 / $358.56 / $582.52	Facility		$205.89	$358.56	$582.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.16 / $368.22 / $542.63	Professional		$233.16	$368.22	$542.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $254.76 / $438.10 / $469.00	Facility		$254.76	$438.10	$469.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.85 / $368.90 / $601.53	Facility		$206.85	$368.90	$601.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.89 / $410.18 / $609.87	Professional		$273.89	$410.18	$609.87
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 $276.41 / $431.14 / $637.55	Professional		$276.41	$431.14	$637.55
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 $337.50 / $484.40 / $726.24	Professional		$337.50	$484.40	$726.24