Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $3,213.00 / $7,920.26	Facility		$220.27	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $165.30 / $431.99	Professional		$95.67	$165.30	$431.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $253.21 / $436.95	Professional		$144.94	$253.21	$436.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $254.29 / $384.60	Professional		$202.93	$254.29	$384.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.75 / $231.65 / $402.55	Facility		$132.75	$231.65	$402.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $258.52 / $377.27	Professional		$166.46	$258.52	$377.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.20 / $293.19 / $329.64	Facility		$175.20	$293.19	$329.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.75 / $231.65 / $424.76	Facility		$132.75	$231.65	$424.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $291.62 / $432.08	Professional		$186.55	$291.62	$432.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,613.15	Facility		$1,722.06	$2,201.77	$2,613.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $304.44 / $460.07	Professional		$189.90	$304.44	$460.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.03 / $340.45 / $503.62	Professional		$234.03	$340.45	$503.62