Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,995.26 / $7,943.28	Facility		$218.78	$1,995.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $457.09	Professional		$87.10	$218.78	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $741.31	Professional		$138.04	$295.12	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $616.60	Professional		$158.49	$251.19	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $338.84 / $5,248.07	Facility		$125.89	$338.84	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $398.11 / $676.08	Professional		$144.54	$398.11	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $501.19 / $524.81	Facility		$371.54	$501.19	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $588.84	Facility		$102.33	$245.47	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $676.08	Professional		$79.43	$257.04	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $660.69	Professional		$190.55	$338.84	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $676.08	Professional		$154.88	$309.03	$676.08