Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.35 / $1,486.00 / $7,920.26	Facility		$372.35	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $308.72 / $682.81	Professional		$191.56	$308.72	$682.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $552.94 / $917.79	Professional		$335.70	$552.94	$917.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.47 / $515.54 / $793.98	Professional		$348.47	$515.54	$793.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.02 / $483.04 / $817.29	Facility		$278.02	$483.04	$817.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.93 / $546.53 / $715.01	Professional		$362.93	$546.53	$715.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.43 / $645.16 / $1,011.46	Facility		$383.43	$645.16	$1,011.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.54 / $504.01 / $1,186.73	Facility		$293.54	$504.01	$1,186.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $113.58 / $113.58 / $113.58	Facility	AS	$113.58	$113.58	$113.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.96 / $598.00 / $870.07	Professional		$407.96	$598.00	$870.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $420.81 / $670.06 / $980.66	Professional		$420.81	$670.06	$980.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.15 / $652.60 / $1,037.73	Professional		$449.15	$652.60	$1,037.73