Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $7,943.28	Facility		$457.09	$707.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $691.83	Professional		$194.98	$295.12	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $776.25	Professional		$295.12	$501.19	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $758.58	Professional		$309.03	$478.63	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $758.58	Facility		$245.47	$426.58	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $741.31	Professional		$331.13	$524.81	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $630.96	Facility		$389.05	$602.56	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $660.69	Facility		$245.47	$407.38	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $501.19 / $794.33	Professional		$79.43	$501.19	$794.33
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 $416.87 / $575.44 / $794.33	Professional		$416.87	$575.44	$794.33
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 $302.00 / $489.78 / $794.33	Professional		$302.00	$489.78	$794.33