Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.73 / $2,747.00 / $8,196.18	Facility		$182.73	$2,747.00	$8,196.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $160.69 / $433.54	Professional		$78.37	$160.69	$433.54
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 $127.17 / $218.19 / $461.21	Professional		$127.17	$218.19	$461.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $226.51 / $423.39	Professional		$154.16	$226.51	$423.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $231.18 / $404.60	Facility		$125.64	$231.18	$404.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $258.89 / $435.88	Professional		$138.13	$258.89	$435.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $310.88 / $347.73	Facility		$167.50	$310.88	$347.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $274.41 / $519.04	Facility		$125.64	$274.41	$519.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $251.64 / $456.75	Professional		$157.66	$251.64	$456.75
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 $158.61 / $294.02 / $476.12	Professional		$158.61	$294.02	$476.12
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 $239.77 / $340.21 / $546.80	Professional		$239.77	$340.21	$546.80