Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.36 / $2,747.00 / $7,920.26	Facility		$352.36	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $251.04 / $637.63	Professional		$149.65	$251.04	$637.63
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 $227.84 / $400.81 / $646.77	Professional		$227.84	$400.81	$646.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $406.55 / $581.17	Professional		$325.58	$406.55	$581.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.54 / $352.69 / $572.62	Facility		$217.54	$352.69	$572.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.80 / $392.62 / $546.29	Professional		$259.80	$392.62	$546.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.80 / $443.28 / $483.48	Facility		$274.80	$443.28	$483.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.54 / $375.99 / $650.70	Facility		$217.54	$375.99	$650.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $440.80 / $625.67	Professional		$293.12	$440.80	$625.67
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 $293.76 / $446.27 / $677.45	Professional		$293.76	$446.27	$677.45
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 $348.33 / $483.71 / $736.54	Professional		$348.33	$483.71	$736.54