Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $13,182.57	Facility		$562.34	$954.99	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $891.25	Professional		$269.15	$407.38	$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 $354.81 / $616.60 / $1,096.48	Professional		$354.81	$616.60	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,023.29	Professional		$512.86	$691.83	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $933.25	Facility		$338.84	$562.34	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $977.24	Professional		$467.74	$676.08	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $851.14	Facility		$575.44	$812.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $891.25	Facility		$338.84	$549.54	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $1,047.13	Professional		$79.43	$660.69	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,047.13	Professional		$512.86	$758.58	$1,047.13
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 $407.38 / $645.65 / $1,047.13	Professional		$407.38	$645.65	$1,047.13