Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.48 / $2,747.00 / $7,920.26	Facility		$374.48	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $221.19 / $583.30	Professional		$142.94	$221.19	$583.30
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 $205.17 / $362.72 / $575.38	Professional		$205.17	$362.72	$575.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $438.90 / $549.98	Professional		$362.90	$438.90	$549.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.21 / $316.82 / $468.95	Facility		$222.21	$316.82	$468.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.63 / $334.66 / $556.90	Professional		$260.63	$334.66	$556.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.95 / $364.10 / $443.54	Facility		$231.95	$364.10	$443.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $320.44 / $649.28	Facility		$215.91	$320.44	$649.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.36 / $398.82 / $561.04	Professional		$294.36	$398.82	$561.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,179.07	Facility		$1,245.03	$1,561.00	$2,179.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $425.54 / $581.86	Professional		$310.58	$425.54	$581.86
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.58 / $386.60 / $622.25	Professional		$276.58	$386.60	$622.25