Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.95 / $4,684.68 / $8,728.00	Facility		$195.95	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $139.06 / $265.58	Professional		$112.68	$139.06	$265.58
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 $111.59 / $176.72 / $294.57	Professional		$111.59	$176.72	$294.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $203.73 / $279.41	Professional		$142.03	$203.73	$279.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $187.81 / $303.77	Facility		$113.11	$187.81	$303.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $196.32 / $281.16	Professional		$141.78	$196.32	$281.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.85 / $225.55 / $241.60	Facility		$148.85	$225.55	$241.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.47 / $236.16 / $2,573.00	Facility		$121.47	$236.16	$2,573.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $219.48 / $286.50	Professional		$159.96	$219.48	$286.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $228.38 / $311.52	Professional		$160.52	$228.38	$311.52
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 $161.76 / $223.73 / $347.13	Professional		$161.76	$223.73	$347.13