Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $489.78 / $7,943.28	Facility		$239.88	$489.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $489.78	Professional		$125.89	$229.09	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $588.84	Professional		$177.83	$323.59	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $524.81	Professional		$199.53	$316.23	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $524.81	Facility		$162.18	$295.12	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $489.78	Professional		$186.21	$331.13	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $436.52	Facility		$269.15	$407.38	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $478.63	Facility		$144.54	$281.84	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $549.54	Professional		$79.43	$302.00	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $14,125.38	Facility		$8,317.64	$11,481.54	$14,125.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $562.34	Professional		$229.09	$380.19	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $16,218.10	Facility		$1,698.24	$5,754.40	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $562.34	Professional		$181.97	$316.23	$562.34