Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $6,606.93	Facility		$251.19	$426.58	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $537.03	Professional		$162.18	$245.47	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $1,659.59	Facility		$251.19	$251.19	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $575.44	Professional		$194.98	$363.08	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $575.44	Professional		$281.84	$398.11	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $501.19	Facility		$177.83	$281.84	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $549.54	Professional		$263.03	$380.19	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $478.63	Facility		$309.03	$446.68	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $489.78	Facility		$169.82	$281.84	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $588.84	Professional		$79.43	$416.87	$588.84
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 / $436.52 / $588.84	Professional		$316.23	$436.52	$588.84
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 $229.09 / $380.19 / $588.84	Professional		$229.09	$380.19	$588.84