Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.25 / $446.42 / $7,920.26	Facility		$282.25	$446.42	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $219.98 / $452.64	Professional		$137.03	$219.98	$452.64
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 $211.63 / $352.92 / $589.53	Professional		$211.63	$352.92	$589.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $381.47 / $548.79	Professional		$301.08	$381.47	$548.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $321.98 / $484.38	Facility		$190.02	$321.98	$484.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.30 / $341.62 / $506.34	Professional		$234.30	$341.62	$506.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.38 / $387.11 / $445.55	Facility		$247.38	$387.11	$445.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $321.98 / $550.00	Facility		$190.02	$321.98	$550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $382.80 / $566.37	Professional		$261.36	$382.80	$566.37
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 $262.00 / $400.39 / $607.97	Professional		$262.00	$400.39	$607.97
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 $291.74 / $425.84 / $668.62	Professional		$291.74	$425.84	$668.62