Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $3,048.00 / $8,728.00	Facility		$144.13	$3,048.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $182.68 / $434.32	Professional		$71.68	$182.68	$434.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,937.44	Facility		$1,089.75	$1,089.75	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $201.36 / $486.48	Professional		$111.81	$201.36	$486.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $202.15 / $439.23	Professional		$138.88	$202.15	$439.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.98 / $200.99 / $464.94	Facility		$97.98	$200.99	$464.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $238.38 / $431.03	Professional		$121.89	$238.38	$431.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $310.20 / $368.09	Facility		$142.71	$310.20	$368.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $234.44 / $547.03	Facility		$99.28	$234.44	$547.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $232.24 / $470.24	Professional		$138.24	$232.24	$470.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $302.41 / $498.57	Professional		$139.84	$302.41	$498.57
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 $236.12 / $364.47 / $567.72	Professional		$236.12	$364.47	$567.72