Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $4,283.46 / $8,728.00	Facility		$249.50	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $180.34 / $572.12	Professional		$99.60	$180.34	$572.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.27 / $247.27 / $1,937.44	Facility		$247.27	$247.27	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.77 / $294.58 / $566.66	Professional		$160.77	$294.58	$566.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.72 / $316.94 / $520.92	Professional		$215.72	$316.94	$520.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $269.45 / $469.39	Facility		$152.19	$269.45	$469.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $300.43 / $514.29	Professional		$183.60	$300.43	$514.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.05 / $351.75 / $431.48	Facility		$211.05	$351.75	$431.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.40 / $285.22 / $551.76	Facility		$155.40	$285.22	$551.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.52 / $328.78 / $551.76	Professional		$212.52	$328.78	$551.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.62 / $347.80 / $565.84	Professional		$213.62	$347.80	$565.84
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 $267.75 / $384.21 / $677.71	Professional		$267.75	$384.21	$677.71