Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.95 / $4,283.46 / $8,728.00	Facility		$330.95	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $169.07 / $401.93	Professional		$130.38	$169.07	$401.93
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 $158.90 / $257.07 / $415.87	Professional		$158.90	$257.07	$415.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $324.77 / $370.83	Professional		$194.25	$324.77	$370.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.87 / $272.18 / $415.59	Facility		$156.87	$272.18	$415.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $262.88 / $475.30	Professional		$234.60	$262.88	$475.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.15 / $294.61 / $315.57	Facility		$214.15	$294.61	$315.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $305.91 / $415.59	Facility		$172.06	$305.91	$415.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $299.88 / $408.03	Professional		$231.68	$299.88	$408.03
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 Professional Modifier Low / Median / High Price $271.83 / $303.63 / $418.80	Professional		$271.83	$303.63	$418.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $285.44 / $419.91	Professional		$190.49	$285.44	$419.91