Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.32 / $2,747.00 / $7,920.26	Facility		$286.32	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $186.20 / $577.74	Professional		$122.81	$186.20	$577.74
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 $185.14 / $302.73 / $480.82	Professional		$185.14	$302.73	$480.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.02 / $334.48 / $434.12	Professional		$268.02	$334.48	$434.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $248.64 / $420.81	Facility		$174.81	$248.64	$420.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.62 / $301.33 / $423.32	Professional		$225.62	$301.33	$423.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $329.64 / $371.85	Facility		$204.62	$329.64	$371.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $249.48 / $468.52	Facility		$174.81	$249.48	$468.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $341.52 / $476.39	Professional		$250.74	$341.52	$476.39
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 $249.48 / $353.48 / $496.75	Professional		$249.48	$353.48	$496.75
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 $249.42 / $351.22 / $565.64	Professional		$249.42	$351.22	$565.64