Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $7,943.28	Facility		$524.81	$645.65	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $691.83	Professional		$239.88	$295.12	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,677.35	Facility		$2,041.74	$2,041.74	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $676.08	Professional		$263.03	$457.09	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $602.56	Professional		$346.74	$478.63	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $645.65	Facility		$251.19	$331.13	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $660.69	Professional		$389.05	$478.63	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $512.86	Facility		$426.58	$501.19	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $616.60	Facility		$234.42	$354.81	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $707.95	Professional		$79.43	$524.81	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $17,782.79 / $21,877.62	Facility		$13,489.63	$17,782.79	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $691.83	Professional		$478.63	$549.54	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $22,908.68	Facility		$1,548.82	$5,495.41	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $724.44	Professional		$316.23	$501.19	$724.44