Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $7,943.28	Facility		$478.63	$977.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $741.31	Professional		$208.93	$346.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $977.24	Professional		$346.74	$575.44	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $977.24	Professional		$398.11	$537.03	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $954.99	Facility		$275.42	$489.78	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $912.01	Professional		$371.54	$616.60	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $776.25	Facility		$416.87	$724.44	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $478.63 / $812.83	Facility		$275.42	$478.63	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $977.24	Professional		$79.43	$549.54	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $977.24	Professional		$467.74	$691.83	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $954.99	Professional		$331.13	$562.34	$954.99