Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $7,943.28	Facility		$354.81	$691.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $602.56	Professional		$147.91	$257.04	$602.56
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 $194.98 / $363.08 / $676.08	Professional		$194.98	$363.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $676.08	Professional		$275.42	$407.38	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $645.65	Facility		$165.96	$331.13	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $630.96	Professional		$251.19	$398.11	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $537.03	Facility		$338.84	$501.19	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $549.54	Facility		$162.18	$316.23	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $660.69	Professional		$79.43	$389.05	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $676.08	Professional		$288.40	$446.68	$676.08
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 $229.09 / $380.19 / $645.65	Professional		$229.09	$380.19	$645.65