Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.24 / $2,747.00 / $7,920.26	Facility		$558.24	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $388.91 / $959.23	Professional		$227.25	$388.91	$959.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.67 / $709.26 / $1,165.96	Professional		$424.67	$709.26	$1,165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.16 / $669.90 / $1,012.09	Professional		$450.16	$669.90	$1,012.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.99 / $590.17 / $960.56	Facility		$372.99	$590.17	$960.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $455.80 / $693.10 / $906.07	Professional		$455.80	$693.10	$906.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.14 / $717.75 / $874.35	Facility		$457.14	$717.75	$874.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.21 / $622.97 / $1,503.58	Facility		$362.21	$622.97	$1,503.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.70 / $753.48 / $1,092.94	Professional		$517.70	$753.48	$1,092.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $542.52 / $798.92 / $1,230.80	Professional		$542.52	$798.92	$1,230.80
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 $579.98 / $833.70 / $1,441.87	Professional		$579.98	$833.70	$1,441.87