Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.21 / $379.99 / $431.92	Facility		$362.21	$379.99	$431.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $241.48 / $494.87	Professional		$110.48	$241.48	$494.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $7,918.45 / $10,873.93	Facility		$119.00	$7,918.45	$10,873.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $367.86 / $571.01	Professional		$239.21	$367.86	$571.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.58 / $404.82 / $467.15	Professional		$341.58	$404.82	$467.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $343.45 / $602.03	Facility		$147.97	$343.45	$602.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $324.26 / $549.55	Professional		$278.32	$324.26	$549.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.81 / $341.59 / $605.88	Facility		$262.81	$341.59	$605.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.73 / $425.90 / $648.71	Facility		$192.73	$425.90	$648.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $390.13 / $503.32	Professional		$295.00	$390.13	$503.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $9,645.90 / $11,923.00	Facility		$7,811.13	$9,645.90	$11,923.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.83 / $380.68 / $479.44	Professional		$302.83	$380.68	$479.44
United Facility/Professional Facility Modifier Low / Median / High Price $9,567.54 / $9,567.54 / $11,821.33	Facility		$9,567.54	$9,567.54	$11,821.33
United Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $258.45 / $535.98	Professional		$179.37	$258.45	$535.98