Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $13,803.84	Facility		$478.63	$691.83	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $707.95	Professional		$257.04	$346.74	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $758.58	Professional		$302.00	$446.68	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $741.31	Professional		$331.13	$501.19	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $426.58 / $741.31	Facility		$281.84	$426.58	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $776.25	Professional		$354.81	$524.81	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $616.60	Facility		$446.68	$588.84	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $724.44	Facility		$269.15	$436.52	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $724.44	Professional		$79.43	$512.86	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,187.76	Facility		$1,412.54	$1,819.70	$2,187.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $794.33	Professional		$467.74	$602.56	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $7,413.10	Facility		$1,096.48	$2,398.83	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $776.25	Professional		$338.84	$524.81	$776.25