Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $6,606.93	Facility		$416.87	$676.08	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $575.44	Professional		$169.82	$269.15	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $741.31	Professional		$281.84	$467.74	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $707.95	Professional		$288.40	$446.68	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $724.44	Facility		$218.78	$407.38	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $691.83	Professional		$295.12	$467.74	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $602.56	Facility		$354.81	$562.34	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $616.60	Facility		$229.09	$380.19	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $741.31	Professional		$79.43	$457.09	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $741.31	Professional		$389.05	$537.03	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $741.31	Professional		$275.42	$446.68	$741.31