Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.33 / $4,684.68 / $8,728.00	Facility		$291.33	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $159.11 / $327.74	Professional		$117.37	$159.11	$327.74
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 $157.04 / $249.43 / $413.83	Professional		$157.04	$249.43	$413.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $304.73 / $382.68	Professional		$194.25	$304.73	$382.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $262.20 / $414.36	Facility		$154.72	$262.20	$414.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $260.45 / $415.90	Professional		$209.22	$260.45	$415.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.18 / $303.86 / $326.95	Facility		$196.18	$303.86	$326.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $282.92 / $417.04	Facility		$166.83	$282.92	$417.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $299.30 / $395.49	Professional		$225.17	$299.30	$395.49
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 $239.25 / $314.64 / $426.74	Professional		$239.25	$314.64	$426.74
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 $196.94 / $288.55 / $425.43	Professional		$196.94	$288.55	$425.43