Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $616.60 / $7,943.28	Facility		$234.42	$616.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $524.81	Professional		$120.23	$234.42	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $741.31	Professional		$173.78	$346.74	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $660.69	Professional		$194.98	$309.03	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $309.03 / $660.69	Facility		$158.49	$309.03	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $616.60	Professional		$181.97	$380.19	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $549.54	Facility		$316.23	$501.19	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $602.56	Facility		$141.25	$302.00	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $691.83	Professional		$79.43	$302.00	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $6,606.93	Facility		$4,073.80	$5,370.32	$6,606.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $691.83	Professional		$229.09	$407.38	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,762.47	Facility		$1,698.24	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $707.95	Professional		$177.83	$323.59	$707.95