Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $7,943.28	Facility		$436.52	$794.33	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $977.24	Professional		$186.21	$295.12	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $758.58	Professional		$295.12	$489.78	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $741.31	Professional		$323.59	$478.63	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $933.25	Facility		$251.19	$436.52	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $741.31	Professional		$331.13	$524.81	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $1,174.90	Facility		$436.52	$602.56	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $660.69	Facility		$245.47	$436.52	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $776.25	Professional		$79.43	$512.86	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $776.25	Professional		$426.58	$575.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $776.25	Professional		$323.59	$489.78	$776.25