Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $1,486.00 / $7,920.26	Facility		$146.29	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $237.90 / $795.16	Professional		$123.46	$237.90	$795.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $302.49 / $565.30	Professional		$137.88	$302.49	$565.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $156.53 / $382.26	Professional		$123.78	$156.53	$382.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $336.87 / $603.79	Facility		$124.06	$336.87	$603.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $269.57 / $491.21	Professional		$104.98	$269.57	$491.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $308.20 / $531.98	Facility		$253.00	$308.20	$531.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $366.78 / $673.13	Facility		$135.22	$366.78	$673.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $295.26 / $549.78	Professional		$116.55	$295.26	$549.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,743.41 / $6,039.89	Facility		$3,709.94	$4,743.41	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $288.42 / $509.59	Professional		$116.53	$288.42	$509.59
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 $360.08 / $504.58 / $701.36	Professional		$360.08	$504.58	$701.36