Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $575.44 / $6,606.93	Facility		$162.18	$575.44	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $204.17 / $524.81	Professional		$74.13	$204.17	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,949.84	Facility		$851.14	$851.14	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $229.09 / $537.03	Professional		$102.33	$229.09	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $575.44	Professional		$128.82	$190.55	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $245.47 / $512.86	Facility		$85.11	$245.47	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $323.59 / $537.03	Professional		$125.89	$323.59	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $446.68	Facility		$269.15	$398.11	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $229.09 / $501.19	Facility		$77.62	$229.09	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $549.54	Professional		$79.43	$204.17	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,548.13	Facility		$2,137.96	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $346.74 / $549.54	Professional		$138.04	$346.74	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,570.88 / $7,244.36	Facility		$1,548.82	$4,570.88	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $537.03	Professional		$120.23	$239.88	$537.03