Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.80 / $525.08 / $7,920.26	Facility		$220.80	$525.08	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $155.43 / $535.36	Professional		$98.45	$155.43	$535.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $246.31 / $400.67	Professional		$148.47	$246.31	$400.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $273.13 / $370.10	Professional		$218.27	$273.13	$370.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $203.07 / $338.64	Facility		$141.87	$203.07	$338.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.22 / $247.10 / $356.43	Professional		$179.22	$247.10	$356.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.10 / $264.64 / $309.54	Facility		$177.10	$264.64	$309.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $203.07 / $387.00	Facility		$141.87	$203.07	$387.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.34 / $278.39 / $394.05	Professional		$200.34	$278.39	$394.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.87 / $288.79 / $411.34	Professional		$199.87	$288.79	$411.34
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 $207.06 / $296.83 / $451.86	Professional		$207.06	$296.83	$451.86