Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $6,606.93	Facility		$223.87	$489.78	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $602.56	Professional		$109.65	$204.17	$602.56
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 $144.54 / $275.42 / $512.86	Professional		$144.54	$275.42	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $549.54	Professional		$204.17	$295.12	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $229.09 / $426.58	Facility		$120.23	$229.09	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $512.86	Professional		$181.97	$288.40	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $426.58	Facility		$245.47	$354.81	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $416.87	Facility		$114.82	$218.78	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $537.03	Professional		$79.43	$288.40	$537.03
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 $213.80 / $331.13 / $537.03	Professional		$213.80	$331.13	$537.03
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 $162.18 / $281.84 / $501.19	Professional		$162.18	$281.84	$501.19