Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.23 / $2,747.00 / $8,728.00	Facility		$179.23	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $193.30 / $473.56	Professional		$80.92	$193.30	$473.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $1,664.70	Facility		$223.87	$223.87	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $235.98 / $518.79	Professional		$124.87	$235.98	$518.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.28 / $225.21 / $473.15	Professional		$153.28	$225.21	$473.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $209.12 / $472.13	Facility		$118.23	$209.12	$472.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $307.95 / $503.93	Professional		$138.62	$307.95	$503.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $353.50 / $383.24	Facility		$161.76	$353.50	$383.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.26 / $262.86 / $495.12	Facility		$122.26	$262.86	$495.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $258.41 / $508.88	Professional		$155.52	$258.41	$508.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $322.26 / $529.02	Professional		$156.55	$322.26	$529.02
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 $281.51 / $386.39 / $602.23	Professional		$281.51	$386.39	$602.23