Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $6,606.93	Facility		$346.74	$660.69	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $691.83	Professional		$218.78	$257.04	$691.83
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 $251.19 / $457.09 / $691.83	Professional		$251.19	$457.09	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $676.08	Professional		$457.09	$575.44	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $354.81 / $562.34	Facility		$239.88	$354.81	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $660.69	Professional		$354.81	$457.09	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $501.19	Facility		$316.23	$446.68	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $549.54	Facility		$239.88	$346.74	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $467.74 / $676.08	Professional		$79.43	$467.74	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $691.83	Professional		$380.19	$501.19	$691.83
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 $302.00 / $446.68 / $660.69	Professional		$302.00	$446.68	$660.69