Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $7,943.28	Facility		$354.81	$416.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $436.52	Professional		$154.88	$204.17	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $501.19	Professional		$190.55	$354.81	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $426.58	Professional		$245.47	$323.59	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $575.44	Facility		$204.17	$302.00	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $436.52	Professional		$257.04	$309.03	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $346.74	Facility		$263.03	$323.59	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $426.58	Facility		$190.55	$257.04	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $457.09	Professional		$79.43	$331.13	$457.09
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 $316.23 / $371.54 / $467.74	Professional		$316.23	$371.54	$467.74
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 $218.78 / $346.74 / $478.63	Professional		$218.78	$346.74	$478.63