Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $5,011.87 / $14,125.38	Facility		$213.80	$5,011.87	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $281.84	Professional		$100.00	$123.03	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,949.84	Facility		$870.96	$870.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $288.40	Professional		$107.15	$194.98	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $245.47	Professional		$147.91	$190.55	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $263.03	Facility		$100.00	$158.49	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $257.04	Professional		$154.88	$199.53	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $213.80	Facility		$173.78	$204.17	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $162.18 / $263.03	Facility		$97.72	$162.18	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $281.84	Professional		$79.43	$208.93	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,548.13	Facility		$2,238.72	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $288.40	Professional		$199.53	$223.87	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $7,244.36	Facility		$1,548.82	$4,466.84	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $295.12	Professional		$131.83	$208.93	$295.12