Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.06 / $2,747.00 / $7,920.26	Facility		$233.06	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $239.09 / $682.44	Professional		$120.73	$239.09	$682.44
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 $183.36 / $316.17 / $593.63	Professional		$183.36	$316.17	$593.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $247.59 / $533.95	Professional		$196.19	$247.59	$533.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.39 / $352.62 / $588.05	Facility		$185.39	$352.62	$588.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $346.38 / $501.76	Professional		$165.88	$346.38	$501.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.29 / $424.95 / $503.01	Facility		$259.29	$424.95	$503.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $383.57 / $736.00	Facility		$188.44	$383.57	$736.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.65 / $365.37 / $593.66	Professional		$182.65	$365.37	$593.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $366.34 / $662.18	Professional		$183.21	$366.34	$662.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.04 / $513.34 / $725.86	Professional		$347.04	$513.34	$725.86