Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.50 / $4,684.68 / $8,728.00	Facility		$289.50	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $285.06 / $693.07	Professional		$139.11	$285.06	$693.07
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 $161.80 / $335.60 / $754.69	Professional		$161.80	$335.60	$754.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.43 / $307.83 / $687.33	Professional		$242.43	$307.83	$687.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.53 / $317.06 / $669.57	Facility		$167.53	$317.06	$669.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $416.95 / $645.77	Professional		$209.75	$416.95	$645.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.58 / $524.66 / $594.96	Facility		$250.58	$524.66	$594.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $419.04 / $763.71	Facility		$180.48	$419.04	$763.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $375.06 / $708.73	Professional		$236.25	$375.06	$708.73
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 $237.41 / $410.16 / $778.75	Professional		$237.41	$410.16	$778.75
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 $359.99 / $539.49 / $781.43	Professional		$359.99	$539.49	$781.43