Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.68 / $4,283.46 / $8,728.00	Facility		$159.68	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $110.52 / $308.99	Professional		$70.02	$110.52	$308.99
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 $81.86 / $136.29 / $224.59	Professional		$81.86	$136.29	$224.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $164.38 / $197.76	Professional		$114.93	$164.38	$197.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $132.93 / $230.05	Facility		$77.55	$132.93	$230.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $142.29 / $225.44	Professional		$115.80	$142.29	$225.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.88 / $157.44 / $180.23	Facility		$104.88	$157.44	$180.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.63 / $145.66 / $230.05	Facility		$85.63	$145.66	$230.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $160.02 / $210.65	Professional		$123.52	$160.02	$210.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $165.73 / $225.28	Professional		$131.01	$165.73	$225.28
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 $84.81 / $152.75 / $223.19	Professional		$84.81	$152.75	$223.19