Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.63 / $4,283.46 / $8,728.00	Facility		$219.63	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $256.33 / $1,395.91	Professional		$107.68	$256.33	$1,395.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,059.63	Facility		$1,089.75	$1,089.75	$2,059.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $362.32 / $1,792.87	Professional		$155.91	$362.32	$1,792.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $277.52 / $1,618.75	Professional		$188.89	$277.52	$1,618.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $611.95 / $1,652.27	Facility		$150.90	$611.95	$1,652.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $862.46 / $1,745.56	Professional		$169.82	$862.46	$1,745.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.32 / $1,174.25 / $1,338.66	Facility		$198.32	$1,174.25	$1,338.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $804.91 / $1,740.23	Facility		$151.56	$804.91	$1,740.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.92 / $825.64 / $1,757.89	Professional		$190.92	$825.64	$1,757.89
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 $191.63 / $1,018.44 / $1,784.64	Professional		$191.63	$1,018.44	$1,784.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,428.38 / $7,233.00	Facility		$1,472.00	$4,428.38	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.25 / $1,238.86 / $2,116.67	Professional		$871.25	$1,238.86	$2,116.67