Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $3,213.00 / $8,728.00	Facility		$164.30	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $199.33 / $567.80	Professional		$69.09	$199.33	$567.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.36 / $375.36 / $1,664.70	Facility		$375.36	$375.36	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $250.43 / $751.56	Professional		$115.69	$250.43	$751.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $209.41 / $678.56	Professional		$143.81	$209.41	$678.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.42 / $256.27 / $622.92	Facility		$97.42	$256.27	$622.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $301.44 / $659.05	Professional		$121.69	$301.44	$659.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $448.00 / $562.79	Facility		$146.91	$448.00	$562.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $284.45 / $727.67	Facility		$98.45	$284.45	$727.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $338.07 / $727.67	Professional		$142.72	$338.07	$727.67
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 $144.10 / $427.72 / $746.24	Professional		$144.10	$427.72	$746.24
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 $351.50 / $482.46 / $878.52	Professional		$351.50	$482.46	$878.52