Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.40 / $1,286.30 / $15,341.00	Facility		$178.40	$1,286.30	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $172.57 / $475.42	Professional		$71.73	$172.57	$475.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $216.00 / $567.55	Professional		$112.86	$216.00	$567.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.53 / $201.03 / $512.44	Professional		$137.53	$201.03	$512.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $215.59 / $487.07	Facility		$109.21	$215.59	$487.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $270.81 / $540.59	Professional		$119.88	$270.81	$540.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $367.16 / $425.45	Facility		$144.05	$367.16	$425.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.67 / $235.79 / $547.47	Facility		$109.67	$235.79	$547.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $272.17 / $555.05	Professional		$139.10	$272.17	$555.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,820.85 / $3,393.44	Facility		$2,215.19	$2,820.85	$3,393.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $343.50 / $576.55	Professional		$139.84	$343.50	$576.55
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 $281.01 / $402.22 / $660.97	Professional		$281.01	$402.22	$660.97