Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.03 / $4,283.46 / $8,728.00	Facility		$225.03	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $230.87 / $589.47	Professional		$106.08	$230.87	$589.47
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 $158.06 / $268.07 / $590.15	Professional		$158.06	$268.07	$590.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $288.20 / $536.80	Professional		$196.17	$288.20	$536.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.65 / $273.08 / $569.42	Facility		$145.65	$273.08	$569.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $317.26 / $534.53	Professional		$175.42	$317.26	$534.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.01 / $387.26 / $459.16	Facility		$203.01	$387.26	$459.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.54 / $320.39 / $674.76	Facility		$146.54	$320.39	$674.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $316.06 / $580.08	Professional		$199.04	$316.06	$580.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $368.08 / $615.02	Professional		$199.12	$368.08	$615.02
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 $294.77 / $457.37 / $700.34	Professional		$294.77	$457.37	$700.34