Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.01 / $2,747.00 / $7,920.26	Facility		$294.01	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $240.16 / $667.16	Professional		$124.73	$240.16	$667.16
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 $205.63 / $365.12 / $657.78	Professional		$205.63	$365.12	$657.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $354.09 / $584.76	Professional		$278.54	$354.09	$584.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.68 / $365.61 / $584.35	Facility		$188.68	$365.61	$584.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $389.40 / $540.45	Professional		$221.05	$389.40	$540.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.95 / $438.94 / $497.14	Facility		$257.95	$438.94	$497.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.68 / $366.20 / $616.97	Facility		$188.68	$366.20	$616.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.59 / $396.58 / $636.24	Professional		$247.59	$396.58	$636.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $419.60 / $687.02	Professional		$251.87	$419.60	$687.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.96 / $503.20 / $751.42	Professional		$348.96	$503.20	$751.42