Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $831.76 / $7,943.28	Facility		$478.63	$831.76	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $794.33	Professional		$239.88	$389.05	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $912.01	Professional		$288.40	$524.81	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $891.25	Professional		$363.08	$478.63	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $870.96	Facility		$257.04	$489.78	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $831.76	Professional		$346.74	$588.84	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $741.31	Facility		$501.19	$691.83	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $851.14	Facility		$251.19	$467.74	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $870.96	Professional		$79.43	$524.81	$870.96
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 $446.68 / $660.69 / $954.99	Professional		$446.68	$660.69	$954.99
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 $354.81 / $549.54 / $933.25	Professional		$354.81	$549.54	$933.25