Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $1,427.25 / $7,920.26	Facility		$305.93	$1,427.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $205.94 / $469.81	Professional		$142.05	$205.94	$469.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $393.86 / $618.82	Professional		$258.20	$393.86	$618.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $419.06 / $536.27	Professional		$291.13	$419.06	$536.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.96 / $327.93 / $534.77	Facility		$229.96	$327.93	$534.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $367.19 / $578.23	Professional		$290.88	$367.19	$578.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.09 / $308.14 / $449.43	Facility		$200.09	$308.14	$449.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.36 / $327.93 / $587.79	Facility		$225.36	$327.93	$587.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.93 / $422.73 / $582.04	Professional		$321.93	$422.73	$582.04
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 $327.81 / $456.97 / $649.04	Professional		$327.81	$456.97	$649.04
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 $300.02 / $425.70 / $666.68	Professional		$300.02	$425.70	$666.68