Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $588.84 / $6,606.93	Facility		$309.03	$588.84	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $549.54	Professional		$151.36	$245.47	$549.54
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 / $371.54 / $660.69	Professional		$194.98	$371.54	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $645.65	Professional		$275.42	$407.38	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $575.44	Facility		$162.18	$316.23	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $512.86	Facility		$331.13	$489.78	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $309.03 / $549.54	Facility		$158.49	$309.03	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $645.65	Professional		$79.43	$389.05	$645.65
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 $295.12 / $446.68 / $645.65	Professional		$295.12	$446.68	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $616.60	Professional		$229.09	$371.54	$616.60