Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $575.44 / $7,943.28	Facility		$151.36	$575.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $199.53 / $831.76	Professional		$61.66	$199.53	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $245.47 / $478.63	Professional		$95.50	$245.47	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $398.11	Professional		$102.33	$158.49	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $281.84 / $602.56	Facility		$91.20	$281.84	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $295.12 / $501.19	Professional		$109.65	$295.12	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $524.81	Facility		$251.19	$309.03	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $562.34	Facility		$100.00	$281.84	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $512.86	Professional		$79.43	$281.84	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $6,025.60	Facility		$3,715.35	$4,786.30	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $288.40 / $512.86	Professional		$117.49	$288.40	$512.86
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 $190.55 / $354.81 / $616.60	Professional		$190.55	$354.81	$616.60