Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.64 / $4,962.67 / $15,341.00	Facility		$249.64	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $153.72 / $302.86	Professional		$106.00	$153.72	$302.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $219.11 / $336.32	Professional		$139.65	$219.11	$336.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $245.12 / $290.60	Professional		$206.80	$245.12	$290.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.03 / $214.54 / $294.95	Facility		$146.03	$214.54	$294.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $210.00 / $347.67	Professional		$184.14	$210.00	$347.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $212.68 / $229.14	Facility		$164.25	$212.68	$229.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $230.40 / $2,402.00	Facility		$153.72	$230.40	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.05 / $235.13 / $321.01	Professional		$206.05	$235.13	$321.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.34 / $266.93 / $358.76	Professional		$210.34	$266.93	$358.76
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $237.29 / $354.30	Professional		$166.10	$237.29	$354.30