Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.80 / $3,213.00 / $7,920.26	Facility		$235.80	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $153.50 / $311.89	Professional		$85.00	$153.50	$311.89
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 $119.45 / $218.60 / $459.20	Professional		$119.45	$218.60	$459.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $223.53 / $420.65	Professional		$176.03	$223.53	$420.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.01 / $234.06 / $424.65	Facility		$122.01	$234.06	$424.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $270.30 / $398.02	Professional		$153.51	$270.30	$398.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.59 / $324.27 / $369.24	Facility		$185.59	$324.27	$369.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $273.05 / $467.66	Facility		$131.05	$273.05	$467.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $258.50 / $432.48	Professional		$172.79	$258.50	$432.48
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 Facility Modifier 50 Low / Median / High Price $3,411.80 / $4,472.85 / $5,685.11	Facility	50	$3,411.80	$4,472.85	$5,685.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $294.68 / $476.88	Professional		$172.21	$294.68	$476.88
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 $225.25 / $331.17 / $604.97	Professional		$225.25	$331.17	$604.97