Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.52 / $2,747.00 / $7,920.26	Facility		$279.52	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $191.72 / $484.04	Professional		$118.98	$191.72	$484.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $319.02 / $522.70	Professional		$182.58	$319.02	$522.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $328.40 / $471.93	Professional		$263.33	$328.40	$471.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $272.26 / $433.62	Facility		$171.40	$272.26	$433.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $305.66 / $440.88	Professional		$206.48	$305.66	$440.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.89 / $336.67 / $391.28	Facility		$219.89	$336.67	$391.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $279.51 / $496.84	Facility		$171.40	$279.51	$496.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.32 / $337.63 / $503.73	Professional		$232.32	$337.63	$503.73
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 $235.48 / $356.10 / $537.84	Professional		$235.48	$356.10	$537.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,706.24 / $7,480.00	Facility		$1,106.00	$2,706.24	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.99 / $374.25 / $589.88	Professional		$253.99	$374.25	$589.88