Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $4,684.68 / $8,728.00	Facility		$328.34	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $209.40 / $583.78	Professional		$123.67	$209.40	$583.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.95 / $382.03 / $620.91	Professional		$226.95	$382.03	$620.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $358.91 / $535.79	Professional		$239.83	$358.91	$535.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.83 / $313.98 / $510.10	Facility		$190.83	$313.98	$510.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.31 / $365.59 / $478.29	Professional		$245.31	$365.59	$478.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $317.39 / $453.56	Facility		$217.53	$317.39	$453.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $333.23 / $588.66	Facility		$180.55	$333.23	$588.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.42 / $397.60 / $577.04	Professional		$273.42	$397.60	$577.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $421.91 / $649.98	Professional		$285.50	$421.91	$649.98
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 $306.43 / $430.31 / $673.89	Professional		$306.43	$430.31	$673.89