Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.36 / $956.24 / $7,920.26	Facility		$432.36	$956.24	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $300.49 / $694.27	Professional		$186.66	$300.49	$694.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.02 / $564.63 / $1,020.88	Professional		$340.02	$564.63	$1,020.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.70 / $523.62 / $889.15	Professional		$389.70	$523.62	$889.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.47 / $507.13 / $861.25	Facility		$293.47	$507.13	$861.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.86 / $592.17 / $799.01	Professional		$353.86	$592.17	$799.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.13 / $626.38 / $771.17	Facility		$328.13	$626.38	$771.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.47 / $559.26 / $1,326.14	Facility		$293.47	$559.26	$1,326.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.43 / $608.95 / $963.96	Professional		$405.43	$608.95	$963.96
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 $423.40 / $712.82 / $1,098.15	Professional		$423.40	$712.82	$1,098.15
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 $514.55 / $698.80 / $1,108.02	Professional		$514.55	$698.80	$1,108.02