Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,548.82 / $5,370.32	Facility		$251.19	$1,548.82	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $416.87	Professional		$109.65	$169.82	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $446.68	Professional		$141.25	$245.47	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $416.87	Professional		$190.55	$288.40	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $512.86	Facility		$131.83	$234.42	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $407.38	Professional		$173.78	$281.84	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $331.13 / $338.84	Facility		$223.87	$331.13	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $223.87 / $363.08	Facility		$125.89	$223.87	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $416.87	Professional		$79.43	$263.03	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,754.23	Facility		$1,737.80	$2,187.76	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $426.58	Professional		$204.17	$309.03	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $416.87	Professional		$162.18	$263.03	$416.87