Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.28 / $4,283.46 / $8,728.00	Facility		$204.28	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $271.07 / $715.11	Professional		$94.93	$271.07	$715.11
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 $143.06 / $281.25 / $886.14	Professional		$143.06	$281.25	$886.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $261.35 / $800.09	Professional		$178.00	$261.35	$800.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $304.76 / $731.22	Facility		$140.44	$304.76	$731.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $411.80 / $781.98	Professional		$154.28	$411.80	$781.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $531.38 / $664.64	Facility		$184.80	$531.38	$664.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $422.16 / $923.82	Facility		$140.44	$422.16	$923.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $398.05 / $868.40	Professional		$180.48	$398.05	$868.40
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 $180.13 / $518.76 / $920.72	Professional		$180.13	$518.76	$920.72
United Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $9,074.00 / $12,113.00	Facility		$388.19	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.04 / $596.29 / $1,048.44	Professional		$425.04	$596.29	$1,048.44