Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,235.94 / $7,943.28	Facility		$204.17	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $389.05	Professional		$79.43	$165.96	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,949.84	Facility		$1,230.27	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $416.87	Professional		$109.65	$208.93	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $416.87	Professional		$134.90	$199.53	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $186.21 / $398.11	Facility		$91.20	$186.21	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $407.38	Professional		$131.83	$245.47	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $346.74	Facility		$229.09	$323.59	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $186.21 / $363.08	Facility		$85.11	$186.21	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $436.52	Professional		$79.43	$218.78	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $446.68	Professional		$158.49	$281.84	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,413.10	Facility		$1,548.82	$5,128.61	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $426.58	Professional		$125.89	$223.87	$426.58