Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.74 / $4,283.46 / $8,728.00	Facility		$337.74	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $219.95 / $526.53	Professional		$142.77	$219.95	$526.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.88 / $267.88 / $2,341.30	Facility		$267.88	$267.88	$2,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $363.46 / $590.10	Professional		$209.44	$363.46	$590.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $412.39 / $547.42	Professional		$295.64	$412.39	$547.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $350.98 / $512.65	Facility		$213.32	$350.98	$512.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $345.68 / $539.66	Professional		$244.76	$345.68	$539.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.30 / $389.54 / $436.84	Facility		$252.30	$389.54	$436.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.51 / $356.90 / $557.77	Facility		$211.51	$356.90	$557.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.10 / $404.82 / $565.50	Professional		$282.10	$404.82	$565.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,700.41 / $4,417.60	Facility		$2,830.49	$3,700.41	$4,417.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $287.16 / $411.13 / $591.37	Professional		$287.16	$411.13	$591.37
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 $299.82 / $424.41 / $675.35	Professional		$299.82	$424.41	$675.35