Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $13,182.57	Facility		$489.78	$891.25	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $891.25	Professional		$234.42	$389.05	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,023.29	Professional		$316.23	$562.34	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $954.99	Professional		$457.09	$660.69	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $851.14	Facility		$288.40	$501.19	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $912.01	Professional		$416.87	$630.96	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $794.33	Facility		$537.03	$758.58	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $812.83	Facility		$295.12	$489.78	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $602.56 / $977.24	Professional		$79.43	$602.56	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $977.24	Professional		$457.09	$691.83	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $954.99	Professional		$363.08	$588.84	$954.99