Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $7,943.28	Facility		$218.78	$426.58	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $398.11	Professional		$107.15	$181.97	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $2,290.87	Facility		$218.78	$218.78	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $457.09	Professional		$138.04	$263.03	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $457.09	Professional		$190.55	$281.84	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $380.19	Facility		$117.49	$208.93	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $446.68	Professional		$181.97	$269.15	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $331.13 / $380.19	Facility		$223.87	$331.13	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $363.08	Facility		$112.20	$204.17	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $478.63	Professional		$79.43	$281.84	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $478.63	Professional		$208.93	$316.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $12,302.69	Facility		$1,548.82	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $446.68	Professional		$158.49	$269.15	$446.68