Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $558.94 / $8,728.00	Facility		$294.20	$558.94	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $195.56 / $579.33	Professional		$131.50	$195.56	$579.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.74 / $376.57 / $609.16	Professional		$238.74	$376.57	$609.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $389.26 / $526.50	Professional		$267.62	$389.26	$526.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $323.33 / $499.02	Facility		$210.80	$323.33	$499.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $361.33 / $533.66	Professional		$268.45	$361.33	$533.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.37 / $772.42 / $1,267.71	Facility		$300.37	$772.42	$1,267.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $341.38 / $2,522.10	Facility		$210.80	$341.38	$2,522.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $410.76 / $566.99	Professional		$297.81	$410.76	$566.99
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 $309.54 / $436.35 / $638.62	Professional		$309.54	$436.35	$638.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.22 / $412.10 / $655.30	Professional		$295.22	$412.10	$655.30