Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $851.14 / $7,943.28	Facility		$398.11	$851.14	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $851.14	Professional		$194.98	$309.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $851.14	Professional		$302.00	$501.19	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $851.14	Professional		$346.74	$467.74	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $1,071.52	Facility		$218.78	$426.58	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $812.83	Professional		$346.74	$562.34	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $707.95	Facility		$478.63	$660.69	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $758.58	Facility		$263.03	$436.52	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $501.19 / $851.14	Professional		$79.43	$501.19	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $891.25	Professional		$416.87	$630.96	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $7,413.10	Facility		$1,698.24	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $870.96	Professional		$302.00	$512.86	$870.96