Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $4,283.46 / $8,728.00	Facility		$182.18	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $190.58 / $479.28	Professional		$75.84	$190.58	$479.28
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 $126.58 / $229.88 / $545.89	Professional		$126.58	$229.88	$545.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $231.65 / $494.97	Professional		$159.07	$231.65	$494.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.81 / $215.90 / $509.46	Facility		$108.81	$215.90	$509.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $271.62 / $489.25	Professional		$139.94	$271.62	$489.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $351.75 / $413.44	Facility		$163.47	$351.75	$413.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.58 / $266.83 / $584.98	Facility		$110.58	$266.83	$584.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $262.50 / $532.02	Professional		$161.25	$262.50	$532.02
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 $161.28 / $341.32 / $564.08	Professional		$161.28	$341.32	$564.08
United Facility/Professional Facility Modifier Low / Median / High Price $243.74 / $5,130.00 / $7,233.00	Facility		$243.74	$5,130.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.75 / $395.52 / $642.32	Professional		$267.75	$395.52	$642.32