Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.11 / $458.24 / $514.30	Facility		$416.11	$458.24	$514.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.68 / $277.85 / $1,088.48	Professional		$191.68	$277.85	$1,088.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102,505.00 / $102,505.00 / $102,505.00	Facility		$102,505.00	$102,505.00	$102,505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $469.43 / $649.03	Professional		$315.77	$469.43	$649.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.17 / $476.20 / $536.15	Professional		$334.17	$476.20	$536.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.85 / $433.46 / $598.86	Facility		$277.85	$433.46	$598.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $392.23 / $701.30	Professional		$326.91	$392.23	$701.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $315.07 / $407.07 / $442.20	Facility		$315.07	$407.07	$442.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.85 / $519.54 / $598.86	Facility		$277.85	$519.54	$598.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $70.66 / $70.66 / $70.66	Facility	AS	$70.66	$70.66	$70.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.07 / $504.66 / $649.03	Professional		$382.07	$504.66	$649.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.23 / $541.53 / $692.34	Professional		$402.23	$541.53	$692.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $508.86 / $695.78	Professional		$336.55	$508.86	$695.78