Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.46 / $2,747.00 / $7,920.26	Facility		$343.46	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $248.68 / $687.21	Professional		$151.09	$248.68	$687.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.94 / $404.25 / $695.95	Professional		$238.94	$404.25	$695.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.83 / $412.07 / $624.66	Professional		$322.83	$412.07	$624.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $384.65 / $588.05	Facility		$220.51	$384.65	$588.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $399.60 / $580.76	Professional		$258.45	$399.60	$580.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.74 / $467.61 / $521.55	Facility		$282.74	$467.61	$521.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $384.65 / $637.50	Facility		$220.51	$384.65	$637.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $442.23 / $671.64	Professional		$291.69	$442.23	$671.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $474.80 / $729.92	Professional		$298.27	$474.80	$729.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.80 / $512.41 / $789.40	Professional		$352.80	$512.41	$789.40