Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.32 / $2,747.00 / $8,728.00	Facility		$141.32	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $370.94 / $740.00	Professional		$74.34	$370.94	$740.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $332.01 / $1,128.79	Professional		$112.07	$332.01	$1,128.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $193.35 / $1,019.17	Professional		$141.72	$193.35	$1,019.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $382.13 / $932.45	Facility		$78.63	$382.13	$932.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $573.62 / $1,106.91	Professional		$117.74	$573.62	$1,106.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $720.16 / $836.16	Facility		$138.02	$720.16	$836.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.29 / $439.71 / $1,102.66	Facility		$88.29	$439.71	$1,102.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.74 / $498.40 / $1,139.05	Professional		$132.74	$498.40	$1,139.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $603.41 / $1,072.03	Professional		$132.72	$603.41	$1,072.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,949.00 / $12,835.00 / $26,404.00	Facility		$3,949.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.62 / $730.71 / $1,179.00	Professional		$396.62	$730.71	$1,179.00