Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $6,606.93	Facility		$288.40	$478.63	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $562.34	Professional		$169.82	$234.42	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $549.54	Professional		$204.17	$354.81	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $549.54	Professional		$316.23	$426.58	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $302.00 / $512.86	Facility		$177.83	$302.00	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $537.03	Professional		$288.40	$371.54	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $426.58	Facility		$302.00	$398.11	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $309.03 / $501.19	Facility		$177.83	$309.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $524.81	Professional		$79.43	$380.19	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,630.78	Facility		$2,290.87	$2,884.03	$3,630.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $562.34	Professional		$316.23	$416.87	$562.34
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 $245.47 / $363.08 / $524.81	Professional		$245.47	$363.08	$524.81