Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.68 / $3,213.00 / $8,728.00	Facility		$249.68	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $167.39 / $433.55	Professional		$109.60	$167.39	$433.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.63 / $172.63 / $1,664.70	Facility		$172.63	$172.63	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $272.69 / $429.22	Professional		$153.59	$272.69	$429.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $301.06 / $387.54	Professional		$226.07	$301.06	$387.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $248.96 / $391.23	Facility		$150.36	$248.96	$391.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $255.60 / $384.13	Professional		$188.76	$255.60	$384.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.57 / $297.00 / $321.60	Facility		$185.57	$297.00	$321.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $255.42 / $410.17	Facility		$153.00	$255.42	$410.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.79 / $300.95 / $416.24	Professional		$212.79	$300.95	$416.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,969.54 / $6,447.18	Facility		$3,709.94	$4,969.54	$6,447.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.15 / $308.00 / $431.42	Professional		$218.15	$308.00	$431.42
United Facility/Professional Facility Modifier Low / Median / High Price $192.95 / $2,385.00 / $4,911.00	Facility		$192.95	$2,385.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.79 / $321.70 / $495.46	Professional		$220.79	$321.70	$495.46