Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $489.78 / $7,943.28	Facility		$380.19	$489.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $489.78	Professional		$177.83	$229.09	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $588.84	Professional		$223.87	$416.87	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $467.74	Professional		$269.15	$346.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $331.13 / $676.08	Facility		$223.87	$331.13	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $524.81	Professional		$275.42	$338.84	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $389.05	Facility		$302.00	$380.19	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $478.63	Facility		$204.17	$288.40	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $537.03	Professional		$79.43	$371.54	$537.03
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 $363.08 / $416.87 / $524.81	Professional		$363.08	$416.87	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,218.10	Facility		$1,995.26	$10,232.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $537.03	Professional		$245.47	$389.05	$537.03