Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $665.22 / $6,629.40	Facility		$223.58	$665.22	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $183.16 / $590.40	Professional		$87.98	$183.16	$590.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $274.16 / $637.22	Professional		$148.81	$274.16	$637.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $285.70 / $582.85	Professional		$194.46	$285.70	$582.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.93 / $254.14 / $527.83	Facility		$129.93	$254.14	$527.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $319.26 / $569.29	Professional		$165.45	$319.26	$569.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $386.91 / $477.04	Facility		$188.27	$386.91	$477.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $291.18 / $613.54	Facility		$130.91	$291.18	$613.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $311.18 / $613.54	Professional		$189.23	$311.18	$613.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $367.42 / $646.15	Professional		$192.13	$367.42	$646.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.76 / $426.36 / $740.73	Professional		$293.76	$426.36	$740.73