Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $6,606.93 / $7,943.28	Facility		$194.98	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $128.82 / $295.12	Professional		$19.95	$128.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $616.60	Professional		$346.74	$457.09	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $199.53 / $5,011.87	Facility		$19.95	$199.53	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $120.23 / $4,677.35	Professional		$19.95	$120.23	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $588.84	Facility		$354.81	$436.52	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $389.05	Facility		$120.23	$199.53	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $616.60	Professional		$79.43	$338.84	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,398.83	Facility		$1,412.54	$1,995.26	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $776.25	Professional		$234.42	$380.19	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,311.31 / $6,165.95	Facility		$389.05	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $549.54	Professional		$223.87	$338.84	$549.54