Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $331.13 / $407.38	Facility		$218.78	$331.13	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $389.05	Professional		$123.03	$173.78	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $8,511.38 / $10,964.78	Facility		$107.15	$8,511.38	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $537.03	Professional		$204.17	$331.13	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $416.87	Professional		$288.40	$331.13	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $288.40 / $676.08	Facility		$147.91	$288.40	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $575.44	Professional		$245.47	$316.23	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $537.03	Facility		$251.19	$302.00	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $758.58	Facility		$154.88	$302.00	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $478.63	Professional		$263.03	$338.84	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $8,709.64 / $12,302.69	Facility		$2,041.74	$8,709.64	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $416.87	Professional		$275.42	$331.13	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,748.98 / $15,488.17	Facility		$9,549.93	$11,748.98	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $489.78	Professional		$165.96	$288.40	$489.78