Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $7,943.28	Facility		$549.54	$870.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $1,071.52	Professional		$275.42	$371.54	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,000.00	Professional		$389.05	$630.96	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $933.25	Professional		$416.87	$676.08	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $549.54 / $954.99	Facility		$316.23	$549.54	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $977.24	Professional		$489.78	$660.69	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $776.25	Facility		$537.03	$741.31	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $794.33	Facility		$338.84	$537.03	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $977.24	Professional		$79.43	$660.69	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,000.00	Professional		$575.44	$776.25	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $977.24	Professional		$416.87	$645.65	$977.24