Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $407.38 / $13,803.84	Facility		$331.13	$407.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $501.19	Professional		$169.82	$218.78	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $489.78	Professional		$223.87	$380.19	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $407.38	Professional		$144.54	$323.59	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $8,912.51	Facility		$218.78	$323.59	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $524.81	Professional		$257.04	$338.84	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $346.74	Facility		$269.15	$316.23	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $436.52	Facility		$186.21	$281.84	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $316.23 / $457.09	Professional		$79.43	$316.23	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $28,183.83 / $33,884.42	Facility		$21,379.62	$28,183.83	$33,884.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $512.86	Professional		$302.00	$389.05	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $36,307.81	Facility		$3,019.95	$20,892.96	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $489.78	Professional		$229.09	$371.54	$489.78