Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.10 / $4,704.00 / $8,728.00	Facility		$251.10	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $157.15 / $457.81	Professional		$104.34	$157.15	$457.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $7,305.12	Facility		$1,937.44	$1,937.44	$7,305.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $235.89 / $340.00	Professional		$140.22	$235.89	$340.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $242.34 / $297.04	Professional		$184.55	$242.34	$297.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.34 / $212.52 / $335.07	Facility		$131.34	$212.52	$335.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $212.44 / $344.49	Professional		$179.71	$212.44	$344.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $224.81 / $235.28	Facility		$167.33	$224.81	$235.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.02 / $259.74 / $403.26	Facility		$136.02	$259.74	$403.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $253.72 / $332.03	Professional		$199.80	$253.72	$332.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.42 / $272.52 / $339.90	Professional		$213.42	$272.52	$339.90
United Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $12,835.00 / $25,015.00	Facility		$145.72	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $240.71 / $362.18	Professional		$173.92	$240.71	$362.18