Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.99 / $4,962.67 / $7,920.26	Facility		$285.99	$4,962.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $214.40 / $374.15	Professional		$138.51	$214.40	$374.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.65 / $290.55 / $450.64	Professional		$208.65	$290.55	$450.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.63 / $303.63 / $359.22	Professional		$255.63	$303.63	$359.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.96 / $311.31 / $481.60	Facility		$198.96	$311.31	$481.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.96 / $299.54 / $445.62	Professional		$230.96	$299.54	$445.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.05 / $280.06 / $408.20	Facility		$218.05	$280.06	$408.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.96 / $355.25 / $2,919.00	Facility		$198.96	$355.25	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $310.98 / $415.80	Professional		$260.82	$310.98	$415.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $334.97 / $438.48	Professional		$254.62	$334.97	$438.48
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 $223.13 / $318.83 / $454.01	Professional		$223.13	$318.83	$454.01