Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.77 / $4,283.46 / $8,728.00	Facility		$227.77	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $235.38 / $599.19	Professional		$106.75	$235.38	$599.19
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 $159.53 / $270.39 / $603.52	Professional		$159.53	$270.39	$603.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $290.13 / $549.42	Professional		$197.47	$290.13	$549.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $262.92 / $563.54	Facility		$136.66	$262.92	$563.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $316.70 / $546.65	Professional		$176.51	$316.70	$546.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.71 / $397.31 / $461.04	Facility		$209.71	$397.31	$461.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $312.67 / $638.66	Facility		$142.49	$312.67	$638.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $319.22 / $591.23	Professional		$201.60	$319.22	$591.23
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 $203.93 / $379.22 / $626.85	Professional		$203.93	$379.22	$626.85
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 $302.38 / $447.30 / $713.80	Professional		$302.38	$447.30	$713.80