Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.05 / $2,614.50 / $7,920.26	Facility		$364.05	$2,614.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $275.52 / $718.66	Professional		$149.21	$275.52	$718.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.66 / $416.01 / $839.54	Professional		$218.66	$416.01	$839.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.77 / $426.88 / $765.44	Professional		$308.77	$426.88	$765.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.26 / $404.61 / $739.18	Facility		$229.26	$404.61	$739.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.35 / $485.01 / $722.38	Professional		$290.35	$485.01	$722.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.09 / $573.78 / $665.31	Facility		$339.09	$573.78	$665.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.77 / $539.54 / $3,065.00	Facility		$238.77	$539.54	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.98 / $489.06 / $790.62	Professional		$327.98	$489.06	$790.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $330.89 / $537.91 / $869.75	Professional		$330.89	$537.91	$869.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $590.91 / $865.68	Professional		$401.74	$590.91	$865.68