Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.96 / $2,747.00 / $7,920.26	Facility		$350.96	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $333.33 / $881.11	Professional		$155.63	$333.33	$881.11
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 $245.84 / $425.32 / $887.60	Professional		$245.84	$425.32	$887.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.22 / $421.45 / $795.75	Professional		$333.22	$421.45	$795.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.48 / $468.35 / $740.36	Facility		$225.48	$468.35	$740.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.22 / $497.06 / $735.06	Professional		$266.22	$497.06	$735.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.87 / $574.19 / $678.04	Facility		$308.87	$574.19	$678.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.48 / $524.14 / $931.15	Facility		$225.48	$524.14	$931.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $487.62 / $868.97	Professional		$297.60	$487.62	$868.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $501.42 / $927.60	Professional		$304.27	$501.42	$927.60
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 $465.53 / $681.61 / $1,036.30	Professional		$465.53	$681.61	$1,036.30