Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $4,962.67 / $15,341.00	Facility		$244.17	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $131.38 / $288.20	Professional		$93.75	$131.38	$288.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $190.96 / $321.33	Professional		$121.68	$190.96	$321.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $241.46 / $284.39	Professional		$179.33	$241.46	$284.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.50 / $199.64 / $367.82	Facility		$119.50	$199.64	$367.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.38 / $199.05 / $348.01	Professional		$172.38	$199.05	$348.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.28 / $225.98 / $243.21	Facility		$156.28	$225.98	$243.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.71 / $229.11 / $367.82	Facility		$130.71	$229.11	$367.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $228.33 / $306.00	Professional		$174.10	$228.33	$306.00
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 $199.88 / $233.06 / $316.80	Professional		$199.88	$233.06	$316.80
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 $158.29 / $221.66 / $316.45	Professional		$158.29	$221.66	$316.45