Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $7,943.28 / $7,943.28	Facility		$213.80	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $302.00	Professional		$114.82	$194.98	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $537.03	Professional		$338.84	$457.09	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $371.54	Facility		$123.03	$218.78	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $933.25	Professional		$141.25	$239.88	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $812.83	Facility		$91.20	$181.97	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $407.38	Facility		$134.90	$218.78	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $407.38	Professional		$79.43	$239.88	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,630.78	Facility		$2,290.87	$2,884.03	$3,630.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $562.34	Professional		$245.47	$407.38	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $549.54	Professional		$257.04	$380.19	$549.54