Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $3,925.18 / $15,341.00	Facility		$268.56	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $255.18 / $654.41	Professional		$126.62	$255.18	$654.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.77 / $320.77 / $1,664.70	Facility		$320.77	$320.77	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $360.56 / $717.91	Professional		$203.46	$360.56	$717.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.39 / $378.17 / $654.91	Professional		$257.39	$378.17	$654.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.46 / $327.25 / $635.79	Facility		$175.46	$327.25	$635.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $396.90 / $643.70	Professional		$218.30	$396.90	$643.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.95 / $484.41 / $533.99	Facility		$257.95	$484.41	$533.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.54 / $364.02 / $679.62	Facility		$178.54	$364.02	$679.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.04 / $400.25 / $690.60	Professional		$255.04	$400.25	$690.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $6,178.58 / $7,048.47	Facility		$4,573.85	$6,178.58	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.27 / $443.05 / $720.56	Professional		$254.27	$443.05	$720.56
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 $367.82 / $529.49 / $876.36	Professional		$367.82	$529.49	$876.36