Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.22 / $4,283.46 / $8,728.00	Facility		$462.22	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $274.83 / $568.34	Professional		$176.00	$274.83	$568.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.85 / $507.95 / $799.88	Professional		$316.85	$507.95	$799.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.50 / $489.45 / $693.74	Professional		$336.50	$489.45	$693.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.52 / $421.79 / $668.99	Facility		$267.52	$421.79	$668.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $336.24 / $474.47 / $668.40	Professional		$336.24	$474.47	$668.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $461.23 / $596.97	Facility		$259.77	$461.23	$596.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.50 / $426.82 / $761.99	Facility		$253.50	$426.82	$761.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.90 / $542.21 / $746.21	Professional		$378.90	$542.21	$746.21
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 $402.68 / $574.89 / $841.38	Professional		$402.68	$574.89	$841.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.35 / $553.79 / $880.62	Professional		$384.35	$553.79	$880.62