Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.40 / $2,747.00 / $7,920.26	Facility		$210.40	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $189.37 / $475.04	Professional		$72.40	$189.37	$475.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $225.65 / $622.22	Professional		$122.96	$225.65	$622.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $223.91 / $561.79	Professional		$176.70	$223.91	$561.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.49 / $246.15 / $469.68	Facility		$114.49	$246.15	$469.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $292.23 / $513.85	Professional		$136.09	$292.23	$513.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.94 / $371.64 / $463.64	Facility		$158.94	$371.64	$463.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.49 / $328.45 / $589.51	Facility		$114.49	$328.45	$589.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $274.17 / $589.51	Professional		$153.13	$274.17	$589.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,900.22 / $3,412.14	Facility		$2,265.38	$2,900.22	$3,412.14
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,398.07 / $4,350.33 / $5,118.21	Facility	50	$3,398.07	$4,350.33	$5,118.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $279.39 / $639.97	Professional		$157.49	$279.39	$639.97
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 $283.79 / $401.95 / $730.91	Professional		$283.79	$401.95	$730.91