Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $4,283.46 / $8,728.00	Facility		$141.41	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $139.11 / $336.90	Professional		$65.70	$139.11	$336.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $211.06 / $1,664.70	Facility		$211.06	$211.06	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $178.96 / $453.23	Professional		$98.94	$178.96	$453.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $179.71 / $409.22	Professional		$123.65	$179.71	$409.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $185.08 / $350.80	Facility		$95.90	$185.08	$350.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $206.90 / $400.30	Professional		$104.08	$206.90	$400.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.31 / $272.06 / $338.35	Facility		$129.31	$272.06	$338.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $206.19 / $438.49	Facility		$95.90	$206.19	$438.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $204.85 / $432.97	Professional		$121.88	$204.85	$432.97
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 $122.22 / $241.08 / $449.68	Professional		$122.22	$241.08	$449.68
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 $206.33 / $273.64 / $529.38	Professional		$206.33	$273.64	$529.38