Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $758.58 / $8,128.31	Facility		$436.52	$758.58	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $741.31	Professional		$199.53	$331.13	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,754.23	Facility		$1,949.84	$1,949.84	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $741.31	Professional		$257.04	$407.38	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $501.19	Professional		$302.00	$407.38	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $794.33	Facility		$218.78	$371.54	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $707.95	Professional		$346.74	$524.81	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $741.31	Facility		$363.08	$436.52	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $758.58	Facility		$213.80	$407.38	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $467.74 / $707.95	Professional		$79.43	$467.74	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $724.44	Professional		$416.87	$512.86	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,748.98 / $25,118.86	Facility		$1,995.26	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $776.25	Professional		$323.59	$524.81	$776.25