Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $343.76 / $383.72	Facility		$329.17	$343.76	$383.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $219.69 / $412.98	Professional		$100.33	$219.69	$412.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $7,918.45 / $10,873.93	Facility		$108.36	$7,918.45	$10,873.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.71 / $331.42 / $501.06	Professional		$222.71	$331.42	$501.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.11 / $361.74 / $417.48	Professional		$305.11	$361.74	$417.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $308.20 / $558.13	Facility		$133.13	$308.20	$558.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $297.99 / $491.21	Professional		$247.10	$297.99	$491.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.98 / $306.00 / $536.44	Facility		$234.98	$306.00	$536.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $369.77 / $578.75	Facility		$172.22	$369.77	$578.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.24 / $351.35 / $450.16	Professional		$266.24	$351.35	$450.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,064.48 / $9,065.01 / $11,923.00	Facility		$2,064.48	$9,065.01	$11,923.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $339.84 / $434.90	Professional		$274.70	$339.84	$434.90
United Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $215.81 / $478.87	Professional		$166.01	$215.81	$478.87