Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.18 / $4,283.46 / $8,728.00	Facility		$263.18	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $235.22 / $642.57	Professional		$114.21	$235.22	$642.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $324.11 / $689.79	Professional		$184.56	$324.11	$689.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.95 / $305.70 / $613.12	Professional		$236.95	$305.70	$613.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.61 / $288.92 / $589.60	Facility		$139.61	$288.92	$589.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $374.51 / $666.22	Professional		$199.82	$374.51	$666.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.85 / $462.30 / $508.53	Facility		$237.85	$462.30	$508.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.61 / $296.31 / $664.17	Facility		$139.61	$296.31	$664.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $366.45 / $695.80	Professional		$227.04	$366.45	$695.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,651.89 / $3,171.06	Facility		$1,918.96	$2,651.89	$3,171.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $405.57 / $681.12	Professional		$222.02	$405.57	$681.12
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 $265.98 / $486.50 / $813.16	Professional		$265.98	$486.50	$813.16