Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.53 / $2,266.90 / $7,920.26	Facility		$190.53	$2,266.90	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $136.53 / $443.39	Professional		$81.59	$136.53	$443.39
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 $130.99 / $227.07 / $642.91	Professional		$130.99	$227.07	$642.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $240.83 / $623.74	Professional		$164.74	$240.83	$623.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.94 / $227.53 / $405.29	Facility		$115.94	$227.53	$405.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $228.83 / $609.73	Professional		$139.84	$228.83	$609.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.03 / $276.70 / $509.87	Facility		$166.03	$276.70	$509.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $241.93 / $663.31	Facility		$121.69	$241.93	$663.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $262.68 / $647.77	Professional		$166.40	$262.68	$647.77
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 $167.68 / $271.69 / $698.56	Professional		$167.68	$271.69	$698.56
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 $189.25 / $289.10 / $800.83	Professional		$189.25	$289.10	$800.83