Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,454.71 / $6,606.93	Facility		$131.83	$2,454.71	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $190.55 / $537.03	Professional		$54.95	$190.55	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $186.21 / $588.84	Professional		$75.86	$186.21	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $537.03	Professional		$97.72	$208.93	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $218.78 / $645.65	Facility		$63.10	$218.78	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $323.59 / $489.78	Professional		$91.20	$323.59	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $457.09	Facility		$316.23	$416.87	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $181.97 / $512.86	Facility		$58.88	$181.97	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $549.54	Professional		$79.43	$151.36	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $549.54	Professional		$109.65	$194.98	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $562.34	Professional		$87.10	$229.09	$562.34