Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $7,943.28	Facility		$416.87	$707.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $645.65	Professional		$186.21	$288.40	$645.65
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 $251.19 / $398.11 / $676.08	Professional		$251.19	$398.11	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $676.08	Professional		$281.84	$407.38	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $676.08	Facility		$223.87	$380.19	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $660.69	Professional		$288.40	$467.74	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $549.54	Facility		$389.05	$537.03	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $630.96	Facility		$218.78	$380.19	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $436.52 / $645.65	Professional		$79.43	$436.52	$645.65
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 $398.11 / $524.81 / $691.83	Professional		$398.11	$524.81	$691.83
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 $295.12 / $446.68 / $691.83	Professional		$295.12	$446.68	$691.83