Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.02 / $291.17 / $321.25	Facility		$284.02	$291.17	$321.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $188.83 / $344.08	Professional		$86.59	$188.83	$344.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.62 / $7,918.45 / $10,873.93	Facility		$82.62	$7,918.45	$10,873.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.66 / $285.25 / $436.24	Professional		$187.66	$285.25	$436.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.14 / $299.48 / $344.65	Professional		$253.14	$299.48	$344.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $254.44 / $480.48	Facility		$113.84	$254.44	$480.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.16 / $260.33 / $407.41	Professional		$211.16	$260.33	$407.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.80 / $257.95 / $480.77	Facility		$205.80	$257.95	$480.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $327.08 / $506.46	Facility		$143.54	$327.08	$506.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $306.08 / $386.56	Professional		$227.80	$306.08	$386.56
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 $232.22 / $295.20 / $367.63	Professional		$232.22	$295.20	$367.63
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 $143.28 / $186.26 / $412.79	Professional		$143.28	$186.26	$412.79