Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $4,283.46 / $8,728.00	Facility		$274.89	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $202.17 / $490.70	Professional		$113.12	$202.17	$490.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,400.80	Facility		$1,937.44	$1,937.44	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $309.62 / $575.41	Professional		$168.72	$309.62	$575.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.22 / $346.29 / $532.52	Professional		$236.22	$346.29	$532.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $291.36 / $496.40	Facility		$167.16	$291.36	$496.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.66 / $320.16 / $519.98	Professional		$189.66	$320.16	$519.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.42 / $375.20 / $437.51	Facility		$218.42	$375.20	$437.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $328.28 / $567.39	Facility		$175.00	$328.28	$567.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.77 / $351.50 / $560.34	Professional		$226.77	$351.50	$560.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $370.27 / $585.60	Professional		$227.56	$370.27	$585.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $9,858.06	Facility		$1,472.00	$5,130.00	$9,858.06
United Facility/Professional Professional Modifier Low / Median / High Price $281.99 / $404.83 / $694.72	Professional		$281.99	$404.83	$694.72