Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.80 / $4,220.50 / $7,920.26	Facility		$218.80	$4,220.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $250.81 / $586.44	Professional		$91.39	$250.81	$586.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.18 / $321.92 / $745.83	Professional		$172.18	$321.92	$745.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.15 / $272.02 / $629.91	Professional		$185.15	$272.02	$629.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $297.54 / $668.95	Facility		$138.38	$297.54	$668.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $407.76 / $797.04	Professional		$156.38	$407.76	$797.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $492.65 / $525.28	Facility		$197.06	$492.65	$525.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $394.65 / $672.75	Facility		$138.38	$394.65	$672.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $329.90 / $721.28	Professional		$190.45	$329.90	$721.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $337.59 / $742.84	Professional		$189.69	$337.59	$742.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.48 / $588.99 / $834.11	Professional		$402.48	$588.99	$834.11