Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.52 / $2,747.00 / $7,920.26	Facility		$391.52	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $240.82 / $523.11	Professional		$166.92	$240.82	$523.11
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 $223.47 / $381.04 / $574.12	Professional		$223.47	$381.04	$574.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.79 / $440.29 / $510.86	Professional		$342.79	$440.29	$510.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $232.63 / $350.50 / $515.74	Facility		$232.63	$350.50	$515.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.13 / $360.59 / $536.24	Professional		$287.13	$360.59	$536.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.48 / $388.60 / $423.44	Facility		$273.48	$388.60	$423.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $388.33 / $615.03	Facility		$239.88	$388.33	$615.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.39 / $404.46 / $549.66	Professional		$322.39	$404.46	$549.66
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 $323.50 / $437.04 / $590.29	Professional		$323.50	$437.04	$590.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $417.19 / $642.71	Professional		$303.95	$417.19	$642.71