Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.94 / $6,629.40 / $14,061.52	Facility		$232.94	$6,629.40	$14,061.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $144.28 / $450.08	Professional		$98.35	$144.28	$450.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $216.49 / $307.14	Professional		$130.47	$216.49	$307.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $219.92 / $267.64	Professional		$170.00	$219.92	$267.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $205.78 / $311.93	Facility		$116.08	$205.78	$311.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $195.30 / $309.42	Professional		$167.59	$195.30	$309.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.59 / $204.03 / $216.41	Facility		$153.59	$204.03	$216.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $240.28 / $362.93	Facility		$133.94	$240.28	$362.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $230.14 / $302.82	Professional		$183.66	$230.14	$302.82
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 $192.51 / $245.86 / $326.51	Professional		$192.51	$245.86	$326.51
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 $156.75 / $226.10 / $333.01	Professional		$156.75	$226.10	$333.01