Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $616.60 / $6,606.93	Facility		$208.93	$616.60	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $501.19	Professional		$100.00	$239.88	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $691.83	Professional		$128.82	$269.15	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $691.83	Professional		$177.83	$275.42	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $257.04 / $660.69	Facility		$102.33	$257.04	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $645.65	Professional		$162.18	$346.74	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $549.54	Facility		$316.23	$478.63	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $257.04 / $575.44	Facility		$112.20	$257.04	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $676.08	Professional		$128.82	$288.40	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,548.13	Facility		$2,290.87	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $676.08	Professional		$190.55	$331.13	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $602.56	Professional		$151.36	$288.40	$602.56