Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $6,606.93	Facility		$194.98	$478.63	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $416.87	Professional		$93.33	$204.17	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $1,659.59	Facility		$239.88	$239.88	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $524.81	Professional		$128.82	$257.04	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $524.81	Professional		$154.88	$229.09	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $239.88 / $489.78	Facility		$112.20	$239.88	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $323.59 / $524.81	Professional		$151.36	$323.59	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $426.58	Facility		$288.40	$398.11	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $213.80 / $446.68	Facility		$95.50	$213.80	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $537.03	Professional		$125.89	$269.15	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,548.13	Facility		$2,238.72	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $537.03	Professional		$186.21	$338.84	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $7,244.36	Facility		$1,548.82	$4,466.84	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $537.03	Professional		$147.91	$275.42	$537.03