Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $3,213.00 / $8,728.00	Facility		$152.38	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $89.21 / $194.90	Professional		$61.04	$89.21	$194.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $124.94 / $204.94	Professional		$81.98	$124.94	$204.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.13 / $160.87 / $193.54	Professional		$113.13	$160.87	$193.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $128.47 / $195.30	Facility		$77.89	$128.47	$195.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $131.08 / $219.63	Professional		$110.16	$131.08	$219.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.50 / $146.72 / $164.82	Facility		$99.50	$146.72	$164.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $138.84 / $209.38	Facility		$85.50	$138.84	$209.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $151.80 / $200.52	Professional		$115.48	$151.80	$200.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,274.53 / $2,981.90 / $3,790.07	Facility		$2,274.53	$2,981.90	$3,790.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $157.97 / $214.72	Professional		$124.85	$157.97	$214.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $149.12 / $219.37	Professional		$106.52	$149.12	$219.37