Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $660.69 / $6,606.93	Facility		$173.78	$660.69	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $524.81	Professional		$87.10	$234.42	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,949.84	Facility		$870.96	$870.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $645.65	Professional		$117.49	$251.19	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $676.08	Professional		$151.36	$229.09	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $275.42 / $537.03	Facility		$97.72	$275.42	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $616.60	Professional		$147.91	$323.59	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $524.81	Facility		$316.23	$457.09	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $524.81	Facility		$91.20	$257.04	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $660.69	Professional		$79.43	$239.88	$660.69
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 $165.96 / $380.19 / $660.69	Professional		$165.96	$380.19	$660.69
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 $138.04 / $263.03 / $616.60	Professional		$138.04	$263.03	$616.60