Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $6,606.93	Facility		$173.78	$478.63	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $416.87	Professional		$87.10	$194.98	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $512.86	Professional		$114.82	$229.09	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $549.54	Professional		$162.18	$229.09	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $229.09 / $436.52	Facility		$100.00	$229.09	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $512.86	Professional		$154.88	$302.00	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $426.58	Facility		$239.88	$363.08	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $436.52	Facility		$95.50	$218.78	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $524.81	Professional		$79.43	$239.88	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,677.35	Facility		$2,818.38	$3,715.35	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $524.81	Professional		$169.82	$316.23	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $7,244.36	Facility		$1,548.82	$4,897.79	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $501.19	Professional		$134.90	$251.19	$501.19