Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $933.25 / $6,606.93	Facility		$288.40	$933.25	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $346.74 / $741.31	Professional		$138.04	$346.74	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $954.99	Professional		$194.98	$407.38	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $933.25	Professional		$269.15	$389.05	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $363.08 / $891.25	Facility		$147.91	$363.08	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $851.14	Professional		$239.88	$512.86	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $724.44	Facility		$478.63	$691.83	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $354.81 / $812.83	Facility		$147.91	$354.81	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $891.25	Professional		$79.43	$389.05	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $891.25	Professional		$269.15	$436.52	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $891.25	Professional		$213.80	$446.68	$891.25