Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $660.69 / $8,709.64	Facility		$371.54	$660.69	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $1,096.48	Professional		$162.18	$263.03	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $660.69	Professional		$263.03	$416.87	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $645.65	Professional		$275.42	$407.38	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $660.69	Facility		$208.93	$371.54	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $630.96	Professional		$281.84	$436.52	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $524.81 / $1,174.90	Facility		$363.08	$524.81	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $562.34	Facility		$208.93	$346.74	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $660.69	Professional		$79.43	$416.87	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $660.69	Professional		$354.81	$489.78	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $676.08	Professional		$251.19	$398.11	$676.08