Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.67 / $3,925.18 / $8,547.28	Facility		$392.67	$3,925.18	$8,547.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $246.72 / $655.27	Professional		$146.59	$246.72	$655.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $425.76 / $679.22	Professional		$244.32	$425.76	$679.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.23 / $412.08 / $606.71	Professional		$304.23	$412.08	$606.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.20 / $390.29 / $642.99	Facility		$234.20	$390.29	$642.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.72 / $412.38 / $740.67	Professional		$256.72	$412.38	$740.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $285.29 / $460.19 / $505.18	Facility		$285.29	$460.19	$505.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.20 / $487.19 / $1,738.00	Facility		$234.20	$487.19	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.51 / $464.78 / $692.76	Professional		$302.51	$464.78	$692.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.87 / $463.12 / $713.47	Professional		$306.87	$463.12	$713.47
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 $378.95 / $581.34 / $801.11	Professional		$378.95	$581.34	$801.11