Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $4,283.46 / $8,728.00	Facility		$182.18	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $241.46 / $718.95	Professional		$82.28	$241.46	$718.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $249.78 / $779.17	Professional		$126.58	$249.78	$779.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $231.65 / $703.51	Professional		$159.07	$231.65	$703.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $267.91 / $647.91	Facility		$113.84	$267.91	$647.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $349.74 / $687.38	Professional		$136.63	$349.74	$687.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $467.09 / $582.23	Facility		$162.13	$467.09	$582.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $356.66 / $804.22	Facility		$124.11	$356.66	$804.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $344.85 / $759.47	Professional		$159.40	$344.85	$759.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,975.12 / $3,619.70	Facility		$2,153.07	$2,975.12	$3,619.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $444.03 / $800.68	Professional		$159.38	$444.03	$800.68
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 $353.28 / $514.55 / $917.89	Professional		$353.28	$514.55	$917.89