Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.02 / $3,213.00 / $8,728.00	Facility		$175.02	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $215.75 / $478.91	Professional		$73.51	$215.75	$478.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,406.86	Facility		$1,937.44	$1,937.44	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $255.55 / $740.81	Professional		$122.93	$255.55	$740.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $222.05 / $668.87	Professional		$152.44	$222.05	$668.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.59 / $256.86 / $625.71	Facility		$113.59	$256.86	$625.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $342.24 / $650.98	Professional		$129.16	$342.24	$650.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $442.47 / $550.74	Facility		$158.12	$442.47	$550.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.58 / $333.28 / $760.81	Facility		$116.58	$333.28	$760.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $337.52 / $719.95	Professional		$152.96	$337.52	$719.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $427.78 / $763.32	Professional		$153.76	$427.78	$763.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $481.70 / $869.19	Professional		$355.30	$481.70	$869.19