Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $6,606.93	Facility		$263.03	$446.68	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $426.58	Professional		$134.90	$208.93	$426.58
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 $154.88 / $281.84 / $489.78	Professional		$154.88	$281.84	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $478.63	Professional		$208.93	$275.42	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $446.68	Facility		$144.54	$251.19	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $457.09	Professional		$199.53	$309.03	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $398.11	Facility		$245.47	$354.81	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $446.68	Facility		$134.90	$245.47	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $457.09	Professional		$79.43	$288.40	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $501.19	Professional		$251.19	$346.74	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $10,000.00	Facility		$1,698.24	$5,754.40	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $489.78	Professional		$186.21	$295.12	$489.78