Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.10 / $2,747.00 / $7,920.26	Facility		$584.10	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $370.00 / $804.81	Professional		$246.62	$370.00	$804.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.66 / $521.91 / $770.97	Professional		$317.66	$521.91	$770.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.34 / $559.63 / $641.84	Professional		$460.34	$559.63	$641.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $494.73 / $712.71	Facility		$370.00	$494.73	$712.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $473.22 / $735.96	Professional		$396.00	$473.22	$735.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $360.29 / $514.96 / $574.41	Facility		$360.29	$514.96	$574.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.50 / $494.73 / $762.85	Facility		$351.50	$494.73	$762.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.24 / $568.96 / $772.54	Professional		$474.24	$568.96	$772.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $487.10 / $603.02 / $837.31	Professional		$487.10	$603.02	$837.31
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.50 / $595.02 / $921.01	Professional		$413.50	$595.02	$921.01