Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.18 / $904.50 / $8,728.00	Facility		$272.18	$904.50	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $311.73 / $751.52	Professional		$158.49	$311.73	$751.52
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 $193.59 / $316.12 / $548.11	Professional		$193.59	$316.12	$548.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $329.73 / $498.84	Professional		$233.30	$329.73	$498.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.96 / $310.25 / $514.04	Facility		$179.96	$310.25	$514.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $328.23 / $537.11	Professional		$210.02	$328.23	$537.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.58 / $377.48 / $417.41	Facility		$230.58	$377.48	$417.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.54 / $324.14 / $532.02	Facility		$183.54	$324.14	$532.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $357.76 / $544.40	Professional		$237.49	$357.76	$544.40
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 $238.24 / $371.74 / $565.47	Professional		$238.24	$371.74	$565.47
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 $287.51 / $402.51 / $642.32	Professional		$287.51	$402.51	$642.32