Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.82 / $5,302.28 / $10,812.20	Facility		$545.82	$5,302.28	$10,812.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.37 / $363.51 / $1,070.00	Professional		$229.37	$363.51	$1,070.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.32 / $535.86 / $728.68	Professional		$338.32	$535.86	$728.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $564.82 / $635.92	Professional		$395.41	$564.82	$635.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.51 / $527.79 / $781.55	Facility		$363.51	$527.79	$781.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $450.12 / $790.41	Professional		$379.44	$450.12	$790.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.32 / $475.70 / $497.67	Facility		$349.32	$475.70	$497.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.51 / $605.79 / $3,274.00	Facility		$363.51	$605.79	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.12 / $577.16 / $728.68	Professional		$431.12	$577.16	$728.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.27 / $607.99 / $777.31	Professional		$453.27	$607.99	$777.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.11 / $522.73 / $776.80	Professional		$362.11	$522.73	$776.80