Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $13,182.57	Facility		$316.23	$524.81	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $478.63	Professional		$151.36	$218.78	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $575.44	Professional		$199.53	$346.74	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $616.60	Professional		$302.00	$416.87	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $302.00 / $478.63	Facility		$169.82	$302.00	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Professional		$263.03	$354.81	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $467.74	Facility		$288.40	$398.11	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $295.12 / $467.74	Facility		$169.82	$295.12	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $363.08 / $575.44	Professional		$79.43	$363.08	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $588.84	Professional		$288.40	$426.58	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $537.03	Professional		$223.87	$346.74	$537.03