Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.31 / $1,637.92 / $6,629.40	Facility		$227.31	$1,637.92	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $169.16 / $419.24	Professional		$101.45	$169.16	$419.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $280.08 / $449.21	Professional		$159.06	$280.08	$449.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $290.44 / $405.59	Professional		$234.34	$290.44	$405.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $249.22 / $389.81	Facility		$152.16	$249.22	$389.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $270.00 / $381.59	Professional		$186.41	$270.00	$381.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.98 / $312.36 / $340.68	Facility		$196.98	$312.36	$340.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $269.73 / $510.30	Facility		$152.16	$269.73	$510.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $307.27 / $438.48	Professional		$209.36	$307.27	$438.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $316.45 / $471.31	Professional		$209.28	$316.45	$471.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $335.23 / $522.14	Professional		$235.20	$335.23	$522.14