Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $7,943.28	Facility		$269.15	$338.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $363.08	Professional		$128.82	$169.82	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $426.58	Professional		$162.18	$269.15	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $316.23	Professional		$181.97	$251.19	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $457.09	Facility		$131.83	$218.78	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $398.11	Professional		$208.93	$263.03	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $331.13	Facility		$218.78	$263.03	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $467.74	Facility		$128.82	$234.42	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $275.42 / $407.38	Professional		$79.43	$275.42	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,244.36	Facility		$4,365.16	$6,025.60	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $407.38	Professional		$251.19	$288.40	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $407.38	Professional		$190.55	$281.84	$407.38