Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $13,182.57	Facility		$398.11	$467.74	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $489.78	Professional		$194.98	$234.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $562.34	Professional		$213.80	$426.58	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $467.74	Professional		$269.15	$354.81	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $7,943.28	Facility		$223.87	$295.12	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $501.19	Professional		$281.84	$338.84	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $389.05	Facility		$302.00	$363.08	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $489.78	Facility		$208.93	$295.12	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $524.81	Professional		$79.43	$380.19	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $21,379.62 / $25,703.96	Facility		$15,135.61	$21,379.62	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $524.81	Professional		$371.54	$416.87	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $537.03	Professional		$288.40	$398.11	$537.03