Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $549.54 / $6,606.93	Facility		$309.03	$549.54	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $537.03	Professional		$141.25	$239.88	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $616.60	Professional		$204.17	$407.38	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $537.03	Professional		$239.88	$371.54	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $331.13 / $630.96	Facility		$181.97	$331.13	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $512.86	Professional		$223.87	$354.81	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $436.52	Facility		$288.40	$426.58	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $501.19	Facility		$173.78	$302.00	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $562.34	Professional		$79.43	$371.54	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $562.34	Professional		$295.12	$416.87	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $575.44	Professional		$213.80	$363.08	$575.44