Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.05 / $777.67 / $13,320.00	Facility		$367.05	$777.67	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.14 / $399.93 / $1,081.58	Professional		$217.14	$399.93	$1,081.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $668.56 / $1,195.24	Professional		$404.65	$668.56	$1,195.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.46 / $616.11 / $989.66	Professional		$433.46	$616.11	$989.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.70 / $591.77 / $954.11	Facility		$344.70	$591.77	$954.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $413.64 / $675.69 / $885.78	Professional		$413.64	$675.69	$885.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.60 / $714.10 / $854.92	Facility		$456.60	$714.10	$854.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.40 / $625.62 / $1,470.16	Facility		$356.40	$625.62	$1,470.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.25 / $725.25 / $1,068.65	Professional		$476.25	$725.25	$1,068.65
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 $493.32 / $786.01 / $1,210.91	Professional		$493.32	$786.01	$1,210.91
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 $575.28 / $795.60 / $1,265.13	Professional		$575.28	$795.60	$1,265.13