Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.99 / $988.00 / $7,920.26	Facility		$217.99	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $234.05 / $757.25	Professional		$108.29	$234.05	$757.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.80 / $1,131.80 / $1,937.44	Facility		$1,131.80	$1,131.80	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.64 / $298.83 / $585.29	Professional		$165.64	$298.83	$585.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.21 / $308.85 / $528.44	Professional		$210.21	$308.85	$528.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.75 / $275.37 / $518.50	Facility		$155.75	$275.37	$518.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $321.27 / $522.53	Professional		$177.19	$321.27	$522.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $386.59 / $436.84	Facility		$199.04	$386.59	$436.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.15 / $313.33 / $587.76	Facility		$162.15	$313.33	$587.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.56 / $330.24 / $573.33	Professional		$208.56	$330.24	$573.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.61 / $364.52 / $595.54	Professional		$209.61	$364.52	$595.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.49 / $417.89 / $682.73	Professional		$298.49	$417.89	$682.73