Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.05 / $3,925.18 / $13,936.79	Facility		$423.05	$3,925.18	$13,936.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $285.47 / $742.87	Professional		$170.27	$285.47	$742.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $529.79 / $841.72	Professional		$321.30	$529.79	$841.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $501.38 / $729.28	Professional		$341.94	$501.38	$729.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $442.55 / $700.92	Facility		$271.77	$442.55	$700.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.11 / $487.25 / $680.08	Professional		$342.11	$487.25	$680.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.46 / $555.97 / $677.86	Facility		$374.46	$555.97	$677.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $448.40 / $1,077.28	Facility		$271.77	$448.40	$1,077.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $562.54 / $783.06	Professional		$391.23	$562.54	$783.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $409.16 / $598.82 / $883.07	Professional		$409.16	$598.82	$883.07
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 $419.71 / $580.45 / $965.56	Professional		$419.71	$580.45	$965.56