Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,621.81 / $7,413.10	Facility		$213.80	$1,621.81	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $489.78	Professional		$85.11	$147.91	$489.78
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 $112.20 / $229.09 / $575.44	Professional		$112.20	$229.09	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $676.08	Professional		$151.36	$223.87	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $204.17 / $426.58	Facility		$91.20	$204.17	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $616.60	Professional		$141.25	$223.87	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $416.87 / $512.86	Facility		$186.21	$416.87	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $181.97 / $398.11	Facility		$87.10	$181.97	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $630.96	Professional		$79.43	$223.87	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Facility		$2,818.38	$3,715.35	$4,466.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $630.96	Professional		$165.96	$257.04	$630.96
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 $125.89 / $218.78 / $389.05	Professional		$125.89	$218.78	$389.05