Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $575.44 / $7,943.28	Facility		$331.13	$575.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $549.54	Professional		$162.18	$263.03	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $645.65	Professional		$213.80	$380.19	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $616.60	Professional		$281.84	$398.11	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $562.34	Facility		$181.97	$302.00	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $602.56	Professional		$269.15	$407.38	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $501.19 / $537.03	Facility		$354.81	$501.19	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $302.00 / $549.54	Facility		$169.82	$302.00	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $407.38 / $645.65	Professional		$79.43	$407.38	$645.65
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 $316.23 / $457.09 / $645.65	Professional		$316.23	$457.09	$645.65
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 $245.47 / $407.38 / $660.69	Professional		$245.47	$407.38	$660.69