Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.48 / $1,631.72 / $7,920.26	Facility		$278.48	$1,631.72	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $187.21 / $611.10	Professional		$108.35	$187.21	$611.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.95 / $378.68 / $621.34	Professional		$232.95	$378.68	$621.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.70 / $361.01 / $541.29	Professional		$244.70	$361.01	$541.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $332.29 / $546.14	Facility		$201.42	$332.29	$546.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $372.01 / $522.33	Professional		$246.58	$372.01	$522.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $445.67 / $586.79	Facility		$274.89	$445.67	$586.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $348.90 / $805.36	Facility		$210.50	$348.90	$805.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $418.60 / $585.41	Professional		$285.26	$418.60	$585.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $294.57 / $431.11 / $656.62	Professional		$294.57	$431.11	$656.62
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.07 / $431.59 / $717.95	Professional		$312.07	$431.59	$717.95