Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $6,606.93	Facility		$295.12	$457.09	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $575.44	Professional		$125.89	$213.80	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $562.34	Professional		$213.80	$363.08	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $549.54	Professional		$245.47	$363.08	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $316.23 / $524.81	Facility		$169.82	$316.23	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $537.03	Professional		$234.42	$354.81	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $1,071.52	Facility		$302.00	$426.58	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $457.09	Facility		$173.78	$295.12	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $354.81 / $562.34	Professional		$79.43	$354.81	$562.34
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 $302.00 / $416.87 / $562.34	Professional		$302.00	$416.87	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $549.54	Professional		$213.80	$346.74	$549.54