Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $13,182.57	Facility		$389.05	$691.83	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $691.83	Professional		$213.80	$338.84	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $776.25	Professional		$257.04	$436.52	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $758.58	Professional		$309.03	$446.68	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $707.95	Facility		$234.42	$416.87	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $707.95	Professional		$316.23	$489.78	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $616.60	Facility		$398.11	$549.54	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $707.95	Facility		$223.87	$407.38	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $724.44	Professional		$79.43	$446.68	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $794.33	Professional		$380.19	$549.54	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $758.58	Professional		$295.12	$467.74	$758.58