Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.06 / $4,283.46 / $8,728.00	Facility		$244.06	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $177.85 / $566.15	Professional		$110.14	$177.85	$566.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.65 / $155.65 / $196.58	Facility		$155.65	$155.65	$196.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $283.76 / $479.80	Professional		$152.13	$283.76	$479.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $286.41 / $433.19	Professional		$208.10	$286.41	$433.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $268.11 / $416.50	Facility		$151.80	$268.11	$416.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $273.27 / $426.98	Professional		$175.07	$273.27	$426.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.77 / $317.58 / $355.10	Facility		$194.77	$317.58	$355.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $274.55 / $459.08	Facility		$153.47	$274.55	$459.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.93 / $305.73 / $465.45	Professional		$206.93	$305.73	$465.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,059.69	Facility		$1,245.03	$1,561.00	$2,059.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.62 / $322.41 / $484.33	Professional		$209.62	$322.41	$484.33
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $363.99 / $591.99	Professional		$256.00	$363.99	$591.99