Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $7,943.28	Facility		$575.44	$933.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $954.99	Professional		$251.19	$389.05	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,023.29	Professional		$331.13	$575.44	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $933.25	Professional		$467.74	$645.65	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $891.25	Facility		$309.03	$512.86	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $891.25	Professional		$416.87	$602.56	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $776.25	Facility		$537.03	$741.31	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $812.83	Facility		$316.23	$501.19	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $616.60 / $954.99	Professional		$79.43	$616.60	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $954.99	Professional		$478.63	$707.95	$954.99
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 $380.19 / $602.56 / $954.99	Professional		$380.19	$602.56	$954.99