Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.98 / $4,283.46 / $8,728.00	Facility		$302.98	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $207.14 / $549.67	Professional		$130.88	$207.14	$549.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.09 / $470.09 / $1,937.44	Facility		$470.09	$470.09	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $312.77 / $466.45	Professional		$168.52	$312.77	$466.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.31 / $333.48 / $421.15	Professional		$261.31	$333.48	$421.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.76 / $275.20 / $439.80	Facility		$167.76	$275.20	$439.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $277.18 / $436.04	Professional		$207.64	$277.18	$436.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.60 / $310.20 / $345.05	Facility		$200.60	$310.20	$345.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $287.35 / $446.90	Facility		$169.04	$287.35	$446.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $336.05 / $452.90	Professional		$246.14	$336.05	$452.90
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 $256.11 / $338.41 / $469.90	Professional		$256.11	$338.41	$469.90
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 $238.68 / $340.32 / $539.62	Professional		$238.68	$340.32	$539.62