Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $4,684.68 / $8,728.00	Facility		$144.19	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $171.53 / $439.48	Professional		$69.31	$171.53	$439.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $196.51 / $856.03	Professional		$101.35	$196.51	$856.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $183.67 / $778.00	Professional		$134.63	$183.67	$778.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $217.03 / $625.14	Facility		$78.63	$217.03	$625.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $285.82 / $839.22	Professional		$112.09	$285.82	$839.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $510.24 / $638.51	Facility		$128.63	$510.24	$638.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $310.06 / $836.65	Facility		$78.63	$310.06	$836.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $286.43 / $848.25	Professional		$123.04	$286.43	$848.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,238.71 / $2,599.42	Facility		$1,568.64	$2,238.71	$2,599.42
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,352.96 / $3,358.08 / $3,899.15	Facility	50	$2,352.96	$3,358.08	$3,899.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $281.20 / $818.63	Professional		$118.70	$281.20	$818.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,385.00 / $4,911.00	Facility		$1,486.00	$2,385.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $478.40 / $841.91	Professional		$264.95	$478.40	$841.91