Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.92 / $4,962.67 / $15,341.00	Facility		$247.92	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $253.99 / $659.55	Professional		$119.16	$253.99	$659.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $336.03 / $748.69	Professional		$189.29	$336.03	$748.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.57 / $314.27 / $666.01	Professional		$247.57	$314.27	$666.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $303.77 / $633.29	Facility		$143.53	$303.77	$633.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $385.14 / $719.58	Professional		$205.49	$385.14	$719.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.12 / $500.67 / $550.74	Facility		$264.12	$500.67	$550.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $308.88 / $717.37	Facility		$143.53	$308.88	$717.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.35 / $380.75 / $749.03	Professional		$233.35	$380.75	$749.03
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 $228.78 / $415.94 / $735.68	Professional		$228.78	$415.94	$735.68
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 $285.47 / $544.61 / $853.02	Professional		$285.47	$544.61	$853.02