Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.05 / $3,213.00 / $7,920.26	Facility		$308.05	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $254.63 / $557.57	Professional		$87.96	$254.63	$557.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.43 / $1,219.43 / $1,937.44	Facility		$1,219.43	$1,219.43	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $273.79 / $810.20	Professional		$134.88	$273.79	$810.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $240.86 / $731.51	Professional		$163.93	$240.86	$731.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $289.41 / $751.10	Facility		$132.94	$289.41	$751.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $456.32 / $722.20	Professional		$151.38	$456.32	$722.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.15 / $578.55 / $677.93	Facility		$192.15	$578.55	$677.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $372.94 / $908.65	Facility		$132.94	$372.94	$908.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.05 / $384.70 / $809.90	Professional		$167.05	$384.70	$809.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,069.32	Facility		$3,868.81	$5,124.10	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $541.16 / $838.22	Professional		$167.68	$541.16	$838.22
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 $460.20 / $669.50 / $949.78	Professional		$460.20	$669.50	$949.78