Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.78 / $2,747.00 / $7,920.26	Facility		$591.78	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $343.49 / $658.22	Professional		$199.38	$343.49	$658.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.09 / $620.88 / $1,051.71	Professional		$365.09	$620.88	$1,051.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.08 / $576.79 / $907.94	Professional		$398.08	$576.79	$907.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.68 / $533.20 / $867.98	Facility		$321.68	$533.20	$867.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.61 / $623.39 / $826.58	Professional		$389.61	$623.39	$826.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.15 / $641.64 / $784.57	Facility		$365.15	$641.64	$784.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.99 / $568.36 / $1,349.19	Facility		$307.99	$568.36	$1,349.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.24 / $657.44 / $980.71	Professional		$442.24	$657.44	$980.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.83 / $720.20 / $1,109.52	Professional		$464.83	$720.20	$1,109.52
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.64 / $750.04 / $1,140.06	Professional		$475.64	$750.04	$1,140.06