Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $389.05	Facility		$208.93	$316.23	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $389.05	Professional		$120.23	$169.82	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $8,511.38 / $10,964.78	Facility		$85.11	$8,511.38	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $562.34	Professional		$194.98	$323.59	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $398.11	Professional		$302.00	$331.13	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $691.83	Facility		$151.36	$288.40	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $691.83	Professional		$257.04	$331.13	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $537.03	Facility		$245.47	$288.40	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $288.40 / $758.58	Facility		$154.88	$288.40	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $467.74	Professional		$257.04	$331.13	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $9,549.93 / $12,302.69	Facility		$7,762.47	$9,549.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $398.11	Professional		$269.15	$323.59	$398.11
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 $162.18 / $281.84 / $478.63	Professional		$162.18	$281.84	$478.63