Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $988.00 / $7,920.26	Facility		$273.00	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $353.12 / $801.31	Professional		$138.54	$353.12	$801.31
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 $224.16 / $433.15 / $983.02	Professional		$224.16	$433.15	$983.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.07 / $390.42 / $871.37	Professional		$308.07	$390.42	$871.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.64 / $442.13 / $923.32	Facility		$205.64	$442.13	$923.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $559.86 / $807.56	Professional		$242.44	$559.86	$807.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.74 / $675.96 / $745.52	Facility		$282.74	$675.96	$745.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.64 / $559.30 / $1,048.70	Facility		$205.64	$559.30	$1,048.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $506.83 / $941.50	Professional		$272.00	$506.83	$941.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.87 / $467.78 / $1,019.51	Professional		$273.87	$467.78	$1,019.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.49 / $762.29 / $1,134.11	Professional		$526.49	$762.29	$1,134.11