Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.49 / $327.54 / $367.25	Facility		$315.49	$327.54	$367.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $208.36 / $674.09	Professional		$94.92	$208.36	$674.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $7,918.45 / $10,873.93	Facility		$85.56	$7,918.45	$10,873.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.81 / $316.55 / $500.36	Professional		$208.81	$316.55	$500.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $342.12 / $391.20	Professional		$288.80	$342.12	$391.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.49 / $288.81 / $557.11	Facility		$129.49	$288.81	$557.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $287.13 / $468.94	Professional		$243.05	$287.13	$468.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $228.34 / $297.48 / $538.46	Facility		$228.34	$297.48	$538.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.54 / $375.64 / $577.46	Facility		$165.54	$375.64	$577.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $345.80 / $439.90	Professional		$255.61	$345.80	$439.90
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 $263.33 / $341.94 / $416.90	Professional		$263.33	$341.94	$416.90
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $199.39 / $463.75	Professional		$160.60	$199.39	$463.75