Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $4,684.68 / $8,728.00	Facility		$289.82	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $216.92 / $461.42	Professional		$135.13	$216.92	$461.42
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 $155.75 / $274.11 / $496.79	Professional		$155.75	$274.11	$496.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $307.47 / $458.14	Professional		$201.48	$307.47	$458.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.13 / $268.60 / $433.96	Facility		$149.13	$268.60	$433.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $297.98 / $434.40	Professional		$209.22	$297.98	$434.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.70 / $343.88 / $395.30	Facility		$220.70	$343.88	$395.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.81 / $315.39 / $2,573.00	Facility		$166.81	$315.39	$2,573.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $323.87 / $468.83	Professional		$231.88	$323.87	$468.83
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 $237.41 / $361.02 / $513.63	Professional		$237.41	$361.02	$513.63
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 $231.88 / $356.85 / $540.17	Professional		$231.88	$356.85	$540.17