Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $6,606.93	Facility		$245.47	$446.68	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $416.87	Professional		$104.71	$173.78	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $501.19	Professional		$173.78	$295.12	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $478.63	Professional		$194.98	$263.03	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $467.74	Facility		$123.03	$239.88	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $457.09	Professional		$186.21	$295.12	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $398.11	Facility		$229.09	$363.08	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $407.38	Facility		$131.83	$223.87	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $501.19	Professional		$79.43	$281.84	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,818.38	Facility		$1,737.80	$2,238.72	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $501.19	Professional		$223.87	$316.23	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $489.78	Professional		$162.18	$281.84	$489.78