Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.88 / $4,684.68 / $8,728.00	Facility		$290.88	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $199.77 / $378.68	Professional		$121.34	$199.77	$378.68
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 $162.31 / $299.83 / $544.63	Professional		$162.31	$299.83	$544.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.39 / $308.33 / $503.18	Professional		$214.39	$308.33	$503.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.78 / $287.93 / $504.48	Facility		$167.78	$287.93	$504.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $333.03 / $476.88	Professional		$210.29	$333.03	$476.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $395.62 / $433.49	Facility		$246.02	$395.62	$433.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.77 / $343.29 / $558.62	Facility		$180.77	$343.29	$558.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.82 / $343.10 / $519.02	Professional		$237.82	$343.10	$519.02
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 / $368.58 / $569.63	Professional		$239.25	$368.58	$569.63
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 $282.13 / $397.80 / $602.17	Professional		$282.13	$397.80	$602.17