Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.58 / $1,440.45 / $7,920.26	Facility		$423.58	$1,440.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $320.45 / $654.59	Professional		$180.13	$320.45	$654.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.44 / $564.46 / $1,024.15	Professional		$333.44	$564.46	$1,024.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.45 / $514.82 / $893.57	Professional		$384.45	$514.82	$893.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.05 / $475.20 / $839.16	Facility		$274.05	$475.20	$839.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.38 / $566.80 / $799.01	Professional		$346.38	$566.80	$799.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $351.69 / $649.23 / $771.17	Facility		$351.69	$649.23	$771.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.05 / $534.58 / $1,326.14	Facility		$274.05	$534.58	$1,326.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.68 / $593.26 / $964.80	Professional		$394.68	$593.26	$964.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,881.12 / $2,351.11	Facility		$1,400.90	$1,881.12	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $411.10 / $676.78 / $1,086.78	Professional		$411.10	$676.78	$1,086.78
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 $448.36 / $689.00 / $1,095.61	Professional		$448.36	$689.00	$1,095.61