Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $4,684.68 / $8,728.00	Facility		$210.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $184.22 / $436.32	Professional		$101.66	$184.22	$436.32
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 $115.72 / $218.96 / $453.44	Professional		$115.72	$218.96	$453.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $223.83 / $414.47	Professional		$176.26	$223.83	$414.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.18 / $219.52 / $399.26	Facility		$122.18	$219.52	$399.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $265.70 / $397.60	Professional		$153.00	$265.70	$397.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $313.08 / $359.79	Facility		$183.76	$313.08	$359.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $272.13 / $461.66	Facility		$131.22	$272.13	$461.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $257.60 / $430.40	Professional		$171.67	$257.60	$430.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $291.24 / $470.75	Professional		$172.21	$291.24	$470.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,758.00 / $8,762.09	Facility		$1,106.00	$3,758.00	$8,762.09
United Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $328.89 / $468.15	Professional		$215.55	$328.89	$468.15