Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.93 / $2,747.00 / $7,920.26	Facility		$419.93	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $266.50 / $686.59	Professional		$177.89	$266.50	$686.59
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 $249.62 / $423.94 / $674.94	Professional		$249.62	$423.94	$674.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.28 / $488.33 / $622.38	Professional		$398.28	$488.33	$622.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.83 / $386.50 / $554.10	Facility		$244.83	$386.50	$554.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $395.76 / $617.49	Professional		$315.52	$395.76	$617.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.61 / $440.86 / $516.57	Facility		$311.61	$440.86	$516.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.72 / $392.78 / $656.45	Facility		$252.72	$392.78	$656.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $480.73 / $665.55	Professional		$354.20	$480.73	$665.55
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 $352.34 / $495.75 / $701.81	Professional		$352.34	$495.75	$701.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $467.82 / $748.40	Professional		$334.32	$467.82	$748.40