Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.91 / $2,747.00 / $7,920.26	Facility		$392.91	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $262.31 / $621.66	Professional		$176.77	$262.31	$621.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $380.93 / $610.67	Professional		$247.00	$380.93	$610.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.96 / $426.75 / $505.83	Professional		$359.96	$426.75	$505.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.31 / $365.91 / $469.20	Facility		$262.31	$365.91	$469.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $317.83 / $357.12 / $544.97	Professional		$317.83	$357.12	$544.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.07 / $364.18 / $416.07	Facility		$273.07	$364.18	$416.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.31 / $370.53 / $530.30	Facility		$262.31	$370.53	$530.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $418.46 / $571.03	Professional		$352.39	$418.46	$571.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,004.37 / $7,963.77 / $18,894.75	Facility		$1,004.37	$7,963.77	$18,894.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.09 / $484.69 / $651.42	Professional		$380.09	$484.69	$651.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $408.68 / $640.24	Professional		$289.17	$408.68	$640.24