Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.61 / $4,684.68 / $8,728.00	Facility		$130.61	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $82.17 / $229.98	Professional		$56.42	$82.17	$229.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $75.73 / $1,937.44	Facility		$75.73	$75.73	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $142.40 / $209.32	Professional		$76.05	$142.40	$209.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $146.47 / $182.29	Professional		$114.02	$146.47	$182.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $121.68 / $204.93	Facility		$73.12	$121.68	$204.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $130.50 / $192.04	Professional		$96.61	$130.50	$192.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.45 / $138.03 / $160.80	Facility		$90.45	$138.03	$160.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.18 / $126.56 / $204.93	Facility		$74.18	$126.56	$204.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $148.50 / $200.37	Professional		$108.16	$148.50	$200.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $150.47 / $203.40	Professional		$110.39	$150.47	$203.40
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 $114.53 / $164.56 / $234.85	Professional		$114.53	$164.56	$234.85