Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $7,943.28	Facility		$537.03	$724.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $741.31	Professional		$223.87	$295.12	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,398.83	Facility		$1,659.59	$1,659.59	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $724.44	Professional		$239.88	$467.74	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $724.44	Professional		$436.52	$588.84	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $630.96	Facility		$257.04	$354.81	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $724.44	Professional		$323.59	$489.78	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $549.54	Facility		$338.84	$467.74	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $602.56	Facility		$251.19	$354.81	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $741.31	Professional		$79.43	$524.81	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $741.31	Professional		$489.78	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $10,471.29	Facility		$1,548.82	$5,495.41	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $741.31	Professional		$275.42	$467.74	$741.31