Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.65 / $4,283.46 / $8,728.00	Facility		$215.65	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $221.24 / $565.63	Professional		$100.25	$221.24	$565.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,406.86	Facility		$1,937.44	$1,937.44	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $254.37 / $562.84	Professional		$146.86	$254.37	$562.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.36 / $275.27 / $514.82	Professional		$187.36	$275.27	$514.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $256.70 / $540.11	Facility		$121.66	$256.70	$540.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $286.35 / $511.88	Professional		$162.40	$286.35	$511.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.61 / $357.11 / $438.18	Facility		$189.61	$357.11	$438.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.51 / $301.26 / $643.29	Facility		$129.51	$301.26	$643.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $298.07 / $551.26	Professional		$189.92	$298.07	$551.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.49 / $352.03 / $585.60	Professional		$188.49	$352.03	$585.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $423.03 / $689.41	Professional		$271.83	$423.03	$689.41