Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.02 / $1,396.00 / $7,920.26	Facility		$288.02	$1,396.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $307.69 / $680.15	Professional		$129.63	$307.69	$680.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $380.57 / $745.24	Professional		$230.13	$380.57	$745.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $335.19 / $670.54	Professional		$245.94	$335.19	$670.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $424.30 / $822.80	Facility		$197.35	$424.30	$822.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.63 / $436.57 / $748.79	Professional		$219.63	$436.57	$748.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.29 / $513.22 / $617.66	Facility		$259.29	$513.22	$617.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $523.54 / $2,327.00	Facility		$197.35	$523.54	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $406.35 / $752.56	Professional		$250.87	$406.35	$752.56
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 $248.60 / $503.09 / $775.06	Professional		$248.60	$503.09	$775.06
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 $413.65 / $678.95 / $870.28	Professional		$413.65	$678.95	$870.28