Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.38 / $589.64 / $7,920.26	Facility		$416.38	$589.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $294.27 / $980.00	Professional		$197.28	$294.27	$980.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.24 / $436.07 / $641.32	Professional		$256.24	$436.07	$641.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.98 / $505.24 / $579.04	Professional		$413.98	$505.24	$579.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $413.98 / $573.87	Facility		$294.27	$413.98	$573.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.04 / $401.40 / $625.82	Professional		$341.04	$401.40	$625.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.87 / $436.89 / $475.03	Facility		$281.87	$436.89	$475.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $413.16 / $597.24	Facility		$294.27	$413.16	$597.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $452.25 / $619.44	Professional		$383.04	$452.25	$619.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $384.99 / $515.32 / $659.73	Professional		$384.99	$515.32	$659.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.50 / $454.92 / $691.48	Professional		$334.50	$454.92	$691.48