Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $676.08 / $13,803.84	Facility		$389.05	$676.08	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $575.44	Professional		$173.78	$223.87	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Facility		$2,041.74	$2,041.74	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $537.03	Professional		$194.98	$371.54	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $489.78	Professional		$281.84	$380.19	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $478.63	Facility		$194.98	$281.84	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $489.78	Professional		$281.84	$346.74	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $407.38	Facility		$281.84	$371.54	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $457.09	Facility		$186.21	$281.84	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $549.54	Professional		$79.43	$389.05	$549.54
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 $354.81 / $416.87 / $537.03	Professional		$354.81	$416.87	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $12,882.50	Facility		$1,621.81	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $524.81	Professional		$223.87	$371.54	$524.81