Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.27 / $3,213.00 / $8,728.00	Facility		$117.27	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $98.67 / $218.35	Professional		$52.82	$98.67	$218.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.71 / $109.71 / $1,937.44	Facility		$109.71	$109.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $141.38 / $272.00	Professional		$80.30	$141.38	$272.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $148.47 / $232.34	Professional		$102.58	$148.47	$232.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $138.76 / $261.63	Facility		$80.43	$138.76	$261.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $159.63 / $242.43	Professional		$89.32	$159.63	$242.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.53 / $185.42 / $205.02	Facility		$106.53	$185.42	$205.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $153.65 / $267.06	Facility		$80.43	$153.65	$267.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $159.26 / $259.60	Professional		$100.87	$159.26	$259.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,323.31 / $2,786.49	Facility		$1,719.37	$2,323.31	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $173.92 / $269.07	Professional		$101.64	$173.92	$269.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $211.36 / $304.89	Professional		$148.63	$211.36	$304.89