Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.08 / $7,943.28	Facility		$549.54	$676.08	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $724.44	Professional		$269.15	$338.84	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $5,495.41	Facility		$2,290.87	$2,290.87	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $776.25	Professional		$281.84	$489.78	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $630.96	Professional		$380.19	$524.81	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $741.31	Facility		$275.42	$426.58	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $676.08	Professional		$426.58	$549.54	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $602.56	Facility		$446.68	$537.03	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $691.83	Facility		$269.15	$436.52	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $562.34 / $741.31	Professional		$79.43	$562.34	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,302.69 / $28,183.83	Facility		$8,709.64	$12,302.69	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $758.58	Professional		$512.86	$588.84	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $26,302.68	Facility		$1,995.26	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $794.33	Professional		$354.81	$562.34	$794.33