Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.20 / $2,824.50 / $7,920.26	Facility		$407.20	$2,824.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $269.18 / $809.42	Professional		$178.45	$269.18	$809.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.86 / $530.53 / $823.34	Professional		$339.86	$530.53	$823.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.05 / $517.89 / $718.62	Professional		$356.05	$517.89	$718.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.69 / $438.06 / $748.66	Facility		$291.69	$438.06	$748.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $511.57 / $714.02	Professional		$370.07	$511.57	$714.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $433.14 / $772.42 / $1,267.71	Facility		$433.14	$772.42	$1,267.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.69 / $471.89 / $1,077.28	Facility		$291.69	$471.89	$1,077.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.31 / $577.91 / $783.06	Professional		$416.31	$577.91	$783.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.44 / $599.49 / $877.39	Professional		$429.44	$599.49	$877.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.11 / $583.41 / $926.10	Professional		$421.11	$583.41	$926.10