Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,060.00 / $7,920.26	Facility		$346.74	$3,060.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $230.87 / $628.16	Professional		$108.89	$230.87	$628.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $319.47 / $686.32	Professional		$181.22	$319.47	$686.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $301.33 / $609.14	Professional		$235.34	$301.33	$609.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.55 / $286.62 / $582.71	Facility		$137.55	$286.62	$582.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $369.23 / $661.90	Professional		$197.00	$369.23	$661.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.16 / $457.87 / $505.85	Facility		$233.16	$457.87	$505.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.55 / $290.74 / $659.02	Facility		$137.55	$290.74	$659.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.82 / $361.20 / $687.81	Professional		$223.82	$361.20	$687.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,651.89 / $3,171.06	Facility		$1,918.96	$2,651.89	$3,171.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $399.81 / $676.72	Professional		$218.33	$399.81	$676.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,385.00 / $4,911.00	Facility		$1,486.00	$2,385.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $501.63 / $802.55	Professional		$262.37	$501.63	$802.55