Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.04 / $1,010.25 / $7,920.26	Facility		$383.04	$1,010.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $327.48 / $1,163.00	Professional		$161.63	$327.48	$1,163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.48 / $533.54 / $787.31	Professional		$301.48	$533.54	$787.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.99 / $529.29 / $685.21	Professional		$393.99	$529.29	$685.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.25 / $464.03 / $736.48	Facility		$287.25	$464.03	$736.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.60 / $459.12 / $823.20	Professional		$318.60	$459.12	$823.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $510.90 / $569.84	Facility		$313.61	$510.90	$569.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.42 / $563.67 / $1,738.00	Facility		$311.42	$563.67	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.82 / $543.32 / $765.33	Professional		$378.82	$543.32	$765.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,743.41 / $6,039.89	Facility		$3,709.94	$4,743.41	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $545.76 / $798.74	Professional		$397.50	$545.76	$798.74
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 $416.57 / $619.99 / $896.87	Professional		$416.57	$619.99	$896.87