Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $2,322.06 / $8,728.00	Facility		$292.82	$2,322.06	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $291.13 / $652.39	Professional		$126.43	$291.13	$652.39
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 $186.11 / $332.82 / $804.59	Professional		$186.11	$332.82	$804.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $330.99 / $731.18	Professional		$225.28	$330.99	$731.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $389.11 / $781.65	Facility		$180.98	$389.11	$781.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $442.54 / $716.48	Professional		$205.32	$442.54	$716.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.11 / $540.69 / $607.69	Facility		$241.11	$540.69	$607.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $439.01 / $894.13	Facility		$180.98	$439.01	$894.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.68 / $383.53 / $782.10	Professional		$227.68	$383.53	$782.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $503.04 / $813.33	Professional		$228.53	$503.04	$813.33
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 $419.64 / $608.88 / $932.38	Professional		$419.64	$608.88	$932.38