Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.07 / $349.07 / $385.84	Facility		$349.07	$349.07	$385.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $211.69 / $415.04	Professional		$111.70	$211.69	$415.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $7,918.45 / $10,873.93	Facility		$107.95	$7,918.45	$10,873.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.25 / $319.56 / $510.03	Professional		$223.25	$319.56	$510.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.81 / $381.97 / $439.11	Professional		$320.81	$381.97	$439.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $311.52 / $516.12	Facility		$141.00	$311.52	$516.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $296.80 / $521.98	Professional		$246.62	$296.80	$521.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $299.45 / $489.94	Facility		$204.82	$299.45	$489.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.58 / $386.24 / $584.71	Facility		$179.58	$386.24	$584.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $361.64 / $467.51	Professional		$256.20	$361.64	$467.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,064.48 / $9,059.40 / $11,922.39	Facility		$2,064.48	$9,059.40	$11,922.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.30 / $347.99 / $445.32	Professional		$281.30	$347.99	$445.32
United Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $233.54 / $521.70	Professional		$158.69	$233.54	$521.70