Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.26 / $2,747.00 / $7,920.26	Facility		$358.26	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $237.91 / $635.38	Professional		$157.27	$237.91	$635.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $406.49 / $679.21	Professional		$237.73	$406.49	$679.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $420.62 / $609.42	Professional		$334.08	$420.62	$609.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $371.26 / $551.61	Facility		$218.47	$371.26	$551.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.14 / $384.00 / $567.05	Professional		$266.14	$384.00	$567.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.33 / $454.08 / $513.89	Facility		$275.33	$454.08	$513.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $371.26 / $603.50	Facility		$218.47	$371.26	$603.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.91 / $440.51 / $661.20	Professional		$297.91	$440.51	$661.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $467.42 / $705.56	Professional		$301.44	$467.42	$705.56
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 $333.70 / $489.91 / $787.35	Professional		$333.70	$489.91	$787.35