Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.60 / $2,747.00 / $7,920.26	Facility		$172.60	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $141.80 / $352.41	Professional		$80.68	$141.80	$352.41
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 $124.08 / $208.83 / $360.98	Professional		$124.08	$208.83	$360.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $197.32 / $320.60	Professional		$159.55	$197.32	$320.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $186.44 / $356.90	Facility		$103.21	$186.44	$356.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $217.50 / $320.10	Professional		$128.76	$217.50	$320.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $247.51 / $282.07	Facility		$150.75	$247.51	$282.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $186.44 / $356.90	Facility		$103.21	$186.44	$356.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $230.89 / $354.55	Professional		$147.63	$230.89	$354.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,583.09 / $3,302.66 / $4,108.28	Facility	50	$2,583.09	$3,302.66	$4,108.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $246.71 / $382.79	Professional		$148.53	$246.71	$382.79
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 $195.01 / $270.08 / $404.41	Professional		$195.01	$270.08	$404.41