Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $6,606.93 / $7,943.28	Facility		$204.17	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $316.23	Professional		$104.71	$186.21	$316.23
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 $309.03 / $407.38 / $489.78	Professional		$309.03	$407.38	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $467.74	Facility		$128.82	$204.17	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $933.25	Professional		$131.83	$295.12	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $162.18 / $831.76	Facility		$75.86	$162.18	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $371.54	Facility		$123.03	$204.17	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $363.08	Professional		$79.43	$204.17	$363.08
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 $218.78 / $363.08 / $501.19	Professional		$218.78	$363.08	$501.19
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 $229.09 / $346.74 / $489.78	Professional		$229.09	$346.74	$489.78