Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.15 / $5,380.00 / $15,341.00	Facility		$345.15	$5,380.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $183.63 / $419.36	Professional		$149.81	$183.63	$419.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.81 / $325.91 / $452.90	Professional		$193.81	$325.91	$452.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $329.30 / $402.91	Professional		$250.78	$329.30	$402.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.48 / $309.81 / $476.68	Facility		$177.48	$309.81	$476.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $289.20 / $459.72	Professional		$250.85	$289.20	$459.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.64 / $305.51 / $328.97	Facility		$229.64	$305.51	$328.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.67 / $367.74 / $539.22	Facility		$196.67	$367.74	$539.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $342.00 / $444.98	Professional		$272.95	$342.00	$444.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $365.27 / $481.01	Professional		$285.37	$365.27	$481.01
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 $233.07 / $325.04 / $480.71	Professional		$233.07	$325.04	$480.71