Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.98 / $988.00 / $7,920.26	Facility		$225.98	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $153.91 / $426.32	Professional		$106.51	$153.91	$426.32
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 $156.63 / $261.08 / $419.51	Professional		$156.63	$261.08	$419.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $295.04 / $387.65	Professional		$236.03	$295.04	$387.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.12 / $217.81 / $354.41	Facility		$152.12	$217.81	$354.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $260.98 / $376.44	Professional		$193.56	$260.98	$376.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.92 / $285.42 / $326.29	Facility		$178.92	$285.42	$326.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.12 / $217.62 / $410.17	Facility		$152.12	$217.62	$410.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $296.73 / $415.38	Professional		$215.05	$296.73	$415.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,689.91 / $2,086.37 / $2,613.15	Facility		$1,689.91	$2,086.37	$2,613.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $309.45 / $434.88	Professional		$216.96	$309.45	$434.88
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 $216.10 / $304.30 / $475.59	Professional		$216.10	$304.30	$475.59