Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.66 / $790.96 / $9,783.28	Facility		$444.66	$790.96	$9,783.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $299.17 / $876.80	Professional		$195.99	$299.17	$876.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $548.29 / $856.95	Professional		$356.72	$548.29	$856.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.07 / $576.54 / $746.79	Professional		$400.07	$576.54	$746.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.95 / $453.06 / $735.47	Facility		$301.95	$453.06	$735.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $514.50 / $801.04	Professional		$402.96	$514.50	$801.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.17 / $831.84 / $1,267.71	Facility		$432.17	$831.84	$1,267.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.95 / $489.21 / $3,005.10	Facility		$301.95	$489.21	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $589.62 / $814.70	Professional		$444.00	$589.62	$814.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.43 / $643.39 / $904.86	Professional		$478.43	$643.39	$904.86
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 $409.16 / $585.57 / $937.47	Professional		$409.16	$585.57	$937.47