Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $512.86 / $6,606.93	Facility		$208.93	$512.86	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $457.09	Professional		$102.33	$213.80	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,949.84	Facility		$1,096.48	$1,096.48	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $549.54	Professional		$138.04	$257.04	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $588.84	Professional		$186.21	$269.15	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $467.74	Facility		$112.20	$245.47	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $537.03	Professional		$177.83	$316.23	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $457.09	Facility		$263.03	$398.11	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $234.42 / $467.74	Facility		$107.15	$234.42	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $275.42 / $575.44	Professional		$79.43	$275.42	$575.44
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 $199.53 / $346.74 / $575.44	Professional		$199.53	$346.74	$575.44
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 $158.49 / $281.84 / $537.03	Professional		$158.49	$281.84	$537.03