Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.57 / $2,747.00 / $7,920.26	Facility		$351.57	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $218.56 / $462.57	Professional		$149.15	$218.56	$462.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $425.87 / $696.96	Professional		$269.99	$425.87	$696.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.97 / $420.92 / $612.25	Professional		$286.97	$420.92	$612.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.61 / $363.91 / $579.15	Facility		$239.61	$363.91	$579.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.35 / $406.58 / $577.17	Professional		$290.35	$406.58	$577.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.68 / $894.91 / $2,134.04	Facility		$327.68	$894.91	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.82 / $394.22 / $3,005.10	Facility		$246.82	$394.22	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.12 / $458.90 / $663.30	Professional		$326.12	$458.90	$663.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $345.71 / $512.09 / $749.47	Professional		$345.71	$512.09	$749.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.09 / $474.49 / $754.52	Professional		$343.09	$474.49	$754.52