Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $4,283.46 / $8,728.00	Facility		$105.67	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $113.09 / $251.04	Professional		$48.03	$113.09	$251.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.28 / $164.28 / $1,937.44	Facility		$164.28	$164.28	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $148.33 / $345.88	Professional		$78.34	$148.33	$345.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $170.00 / $320.51	Professional		$92.04	$170.00	$320.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $133.63 / $305.14	Facility		$59.41	$133.63	$305.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $154.91 / $311.00	Professional		$82.65	$154.91	$311.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.23 / $233.16 / $257.95	Facility		$104.23	$233.16	$257.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $149.02 / $332.08	Facility		$59.84	$149.02	$332.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $164.59 / $336.69	Professional		$91.52	$164.59	$336.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $214.02 / $352.09	Professional		$92.58	$214.02	$352.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,385.00 / $4,911.00	Facility		$1,096.00	$2,385.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $246.41 / $400.92	Professional		$172.49	$246.41	$400.92