Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $6,606.93	Facility		$269.15	$436.52	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $426.58	Professional		$125.89	$181.97	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $457.09	Professional		$162.18	$281.84	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $426.58	Professional		$234.42	$323.59	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $407.38	Facility		$147.91	$239.88	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $446.68	Professional		$213.80	$295.12	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $346.74	Facility		$245.47	$338.84	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $371.54	Facility		$147.91	$245.47	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $295.12 / $436.52	Professional		$79.43	$295.12	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $446.68	Professional		$239.88	$331.13	$446.68
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 $186.21 / $288.40 / $436.52	Professional		$186.21	$288.40	$436.52