Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.37 / $4,283.46 / $8,728.00	Facility		$193.37	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $216.32 / $520.97	Professional		$88.87	$216.32	$520.97
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 $134.88 / $240.28 / $562.00	Professional		$134.88	$240.28	$562.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $246.20 / $510.67	Professional		$168.94	$246.20	$510.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $255.47 / $530.54	Facility		$132.13	$255.47	$530.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $288.57 / $505.43	Professional		$149.57	$288.57	$505.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.20 / $363.81 / $424.78	Facility		$174.20	$363.81	$424.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $290.58 / $625.71	Facility		$132.13	$290.58	$625.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $277.20 / $547.47	Professional		$170.88	$277.20	$547.47
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 $170.24 / $349.07 / $580.45	Professional		$170.24	$349.07	$580.45
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 $273.36 / $418.38 / $678.77	Professional		$273.36	$418.38	$678.77