Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.94 / $4,704.00 / $8,728.00	Facility		$221.94	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $139.81 / $391.00	Professional		$92.23	$139.81	$391.00
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 $123.07 / $210.29 / $304.85	Professional		$123.07	$210.29	$304.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $214.61 / $263.39	Professional		$170.00	$214.61	$263.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.73 / $184.24 / $298.04	Facility		$105.73	$184.24	$298.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $186.60 / $304.70	Professional		$157.05	$186.60	$304.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $199.10 / $208.08	Facility		$142.93	$199.10	$208.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $221.52 / $357.17	Facility		$112.22	$221.52	$357.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $224.47 / $293.08	Professional		$176.00	$224.47	$293.08
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 $188.81 / $241.95 / $303.85	Professional		$188.81	$241.95	$303.85
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 $150.50 / $217.00 / $318.04	Professional		$150.50	$217.00	$318.04