Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.56 / $2,747.00 / $7,920.26	Facility		$326.56	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $208.98 / $490.33	Professional		$133.03	$208.98	$490.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.24 / $354.39 / $583.77	Professional		$214.24	$354.39	$583.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.55 / $393.28 / $535.80	Professional		$310.55	$393.28	$535.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.53 / $315.19 / $476.28	Facility		$198.53	$315.19	$476.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $339.30 / $498.65	Professional		$242.44	$339.30	$498.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.44 / $383.81 / $440.86	Facility		$242.44	$383.81	$440.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.53 / $315.19 / $550.00	Facility		$198.53	$315.19	$550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.05 / $385.56 / $566.37	Professional		$274.05	$385.56	$566.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $404.78 / $600.62	Professional		$270.62	$404.78	$600.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $422.66 / $674.45	Professional		$290.27	$422.66	$674.45