Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.04 / $4,684.68 / $8,728.00	Facility		$217.04	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $203.18 / $524.90	Professional		$85.67	$203.18	$524.90
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 $115.98 / $253.46 / $619.44	Professional		$115.98	$253.46	$619.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.47 / $238.52 / $559.36	Professional		$185.47	$238.52	$559.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.55 / $246.96 / $543.65	Facility		$120.55	$246.96	$543.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $338.33 / $524.79	Professional		$155.84	$338.33	$524.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $415.35 / $485.75	Facility		$184.25	$415.35	$485.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $326.05 / $626.41	Facility		$125.19	$326.05	$626.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $286.02 / $576.38	Professional		$175.46	$286.02	$576.38
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 $178.36 / $307.36 / $638.75	Professional		$178.36	$307.36	$638.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $414.16 / $632.04	Professional		$283.50	$414.16	$632.04