Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $988.00 / $7,920.26	Facility		$287.32	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $265.29 / $645.79	Professional		$140.32	$265.29	$645.79
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 $211.91 / $373.87 / $656.69	Professional		$211.91	$373.87	$656.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.57 / $381.05 / $587.12	Professional		$299.57	$381.05	$587.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.08 / $356.16 / $675.69	Facility		$195.08	$356.16	$675.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.96 / $383.21 / $624.03	Professional		$238.96	$383.21	$624.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.04 / $463.64 / $543.32	Facility		$276.04	$463.64	$543.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.08 / $381.50 / $838.77	Facility		$195.08	$381.50	$838.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $423.73 / $630.75	Professional		$268.45	$423.73	$630.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,859.35 / $10,847.34 / $13,475.61	Facility		$8,859.35	$10,847.34	$13,475.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $445.89 / $686.94	Professional		$275.79	$445.89	$686.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.55 / $504.65 / $751.09	Professional		$359.55	$504.65	$751.09