Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.56 / $988.00 / $7,920.26	Facility		$353.56	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $270.38 / $733.00	Professional		$166.81	$270.38	$733.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $491.34 / $829.85	Professional		$305.88	$491.34	$829.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.83 / $473.05 / $724.51	Professional		$317.83	$473.05	$724.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $424.67 / $687.69	Facility		$251.42	$424.67	$687.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $474.44 / $647.66	Professional		$315.43	$474.44	$647.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.76 / $508.90 / $625.11	Facility		$313.76	$508.90	$625.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.51 / $448.37 / $798.89	Facility		$241.51	$448.37	$798.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.16 / $521.04 / $781.39	Professional		$361.16	$521.04	$781.39
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 $375.49 / $572.59 / $882.12	Professional		$375.49	$572.59	$882.12
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 $406.85 / $538.03 / $874.51	Professional		$406.85	$538.03	$874.51