Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.09 / $4,684.68 / $8,728.00	Facility		$246.09	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $159.03 / $306.97	Professional		$95.81	$159.03	$306.97
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 $131.50 / $244.90 / $449.78	Professional		$131.50	$244.90	$449.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $261.31 / $413.00	Professional		$182.17	$261.31	$413.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $234.74 / $388.44	Facility		$121.20	$234.74	$388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $261.36 / $389.85	Professional		$177.19	$261.36	$389.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.69 / $307.45 / $356.44	Facility		$186.69	$307.45	$356.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $283.52 / $2,573.00	Facility		$140.85	$283.52	$2,573.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $283.08 / $422.41	Professional		$197.82	$283.08	$422.41
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 Facility Modifier 50 Low / Median / High Price $8,548.21 / $11,068.53 / $13,085.64	Facility	50	$8,548.21	$11,068.53	$13,085.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $310.77 / $462.88	Professional		$201.73	$310.77	$462.88
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 $213.06 / $314.24 / $463.80	Professional		$213.06	$314.24	$463.80