Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.34 / $4,283.46 / $8,728.00	Facility		$192.34	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $122.65 / $302.45	Professional		$80.95	$122.65	$302.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $94.68 / $155.65	Facility		$94.68	$94.68	$155.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $209.08 / $310.10	Professional		$111.28	$209.08	$310.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $190.43 / $241.50	Professional		$151.27	$190.43	$241.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.24 / $183.48 / $298.04	Facility		$101.24	$183.48	$298.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $180.48 / $261.14	Professional		$128.52	$180.48	$261.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $194.91 / $241.04	Facility		$136.88	$194.91	$241.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $183.48 / $302.05	Facility		$102.91	$183.48	$302.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $225.75 / $306.24	Professional		$162.54	$225.75	$306.24
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 $166.98 / $227.88 / $316.50	Professional		$166.98	$227.88	$316.50
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 $172.49 / $246.41 / $371.00	Professional		$172.49	$246.41	$371.00