Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.42 / $2,659.00 / $7,920.26	Facility		$522.42	$2,659.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $362.86 / $721.68	Professional		$232.12	$362.86	$721.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.72 / $656.53 / $1,050.01	Professional		$398.72	$656.53	$1,050.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.17 / $612.72 / $914.67	Professional		$415.17	$612.72	$914.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.08 / $571.80 / $944.46	Facility		$330.08	$571.80	$944.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.84 / $627.12 / $828.63	Professional		$416.84	$627.12	$828.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.03 / $677.73 / $792.61	Facility		$444.03	$677.73	$792.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.64 / $597.05 / $1,354.94	Facility		$356.64	$597.05	$1,354.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.97 / $128.97 / $128.97	Facility	AS	$128.97	$128.97	$128.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.13 / $699.89 / $986.74	Professional		$485.13	$699.89	$986.74
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 $499.15 / $763.93 / $1,118.05	Professional		$499.15	$763.93	$1,118.05
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 $516.09 / $756.00 / $1,182.45	Professional		$516.09	$756.00	$1,182.45