Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.85 / $3,213.00 / $7,920.26	Facility		$208.85	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $190.21 / $490.93	Professional		$83.45	$190.21	$490.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $253.77 / $612.78	Professional		$138.41	$253.77	$612.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $248.27 / $553.27	Professional		$196.49	$248.27	$553.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $272.86 / $471.51	Facility		$128.01	$272.86	$471.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $302.43 / $508.54	Professional		$151.96	$302.43	$508.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $367.76 / $459.62	Facility		$176.40	$367.76	$459.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $329.73 / $593.80	Facility		$128.01	$329.73	$593.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $291.16 / $593.80	Professional		$173.88	$291.16	$593.80
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 $177.10 / $301.18 / $643.72	Professional		$177.10	$301.18	$643.72
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 $287.68 / $410.04 / $659.99	Professional		$287.68	$410.04	$659.99