Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.19 / $4,283.46 / $8,728.00	Facility		$280.19	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $189.62 / $553.52	Professional		$125.26	$189.62	$553.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $1,937.44	Facility		$1,937.44	$1,937.44	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $319.00 / $554.15	Professional		$173.46	$319.00	$554.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.05 / $331.95 / $502.06	Professional		$240.05	$331.95	$502.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.28 / $295.70 / $489.70	Facility		$181.28	$295.70	$489.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $298.88 / $505.03	Professional		$206.55	$298.88	$505.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $346.56 / $419.42	Facility		$226.54	$346.56	$419.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.28 / $316.00 / $527.73	Facility		$181.28	$316.00	$527.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $348.68 / $535.04	Professional		$237.90	$348.68	$535.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.56 / $363.59 / $554.55	Professional		$241.56	$363.59	$554.55
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 $276.11 / $403.21 / $680.51	Professional		$276.11	$403.21	$680.51