Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.87 / $879.46 / $7,920.26	Facility		$415.87	$879.46	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $333.18 / $947.34	Professional		$212.01	$333.18	$947.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $621.88 / $1,082.32	Professional		$374.75	$621.88	$1,082.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.85 / $578.32 / $904.43	Professional		$395.85	$578.32	$904.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.43 / $530.45 / $859.82	Facility		$323.43	$530.45	$859.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.54 / $618.04 / $808.72	Professional		$388.54	$618.04	$808.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.50 / $636.32 / $780.55	Facility		$361.50	$636.32	$780.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.63 / $568.13 / $1,342.27	Facility		$334.63	$568.13	$1,342.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $448.31 / $658.72 / $975.69	Professional		$448.31	$658.72	$975.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,274.82 / $1,579.21	Facility		$900.57	$1,274.82	$1,579.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $463.54 / $717.74 / $1,105.73	Professional		$463.54	$717.74	$1,105.73
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 $522.16 / $755.49 / $1,148.33	Professional		$522.16	$755.49	$1,148.33