Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $7,943.28	Facility		$380.19	$524.81	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $549.54	Professional		$177.83	$208.93	$549.54
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 $204.17 / $354.81 / $549.54	Professional		$204.17	$354.81	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $489.78	Professional		$309.03	$407.38	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $478.63	Facility		$194.98	$288.40	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $512.86	Professional		$281.84	$338.84	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $398.11	Facility		$257.04	$363.08	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $436.52	Facility		$194.98	$288.40	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $363.08 / $537.03	Professional		$79.43	$363.08	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $549.54	Professional		$309.03	$398.11	$549.54
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 $245.47 / $354.81 / $524.81	Professional		$245.47	$354.81	$524.81