Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.56 / $2,747.00 / $7,920.26	Facility		$373.56	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $279.64 / $839.47	Professional		$146.99	$279.64	$839.47
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 $256.33 / $450.06 / $845.58	Professional		$256.33	$450.06	$845.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.74 / $457.67 / $768.22	Professional		$355.74	$457.67	$768.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.42 / $406.30 / $673.96	Facility		$199.42	$406.30	$673.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $267.38 / $423.03 / $709.21	Professional		$267.38	$423.03	$709.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.79 / $529.97 / $629.79	Facility		$306.79	$529.97	$629.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $435.60 / $806.61	Facility		$223.16	$435.60	$806.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $475.00 / $816.86	Professional		$313.14	$475.00	$816.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.68 / $540.24 / $877.87	Professional		$320.68	$540.24	$877.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.89 / $605.83 / $932.19	Professional		$403.89	$605.83	$932.19