Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $7,943.28	Facility		$302.00	$549.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $691.83	Professional		$223.87	$302.00	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $676.08	Professional		$309.03	$467.74	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $575.44	Professional		$213.80	$467.74	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $331.13 / $794.33	Facility		$302.00	$331.13	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $724.44	Professional		$354.81	$501.19	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $457.09	Facility		$371.54	$436.52	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $562.34	Facility		$257.04	$309.03	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $436.52 / $630.96	Professional		$79.43	$436.52	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $724.44	Professional		$416.87	$537.03	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $660.69	Professional		$331.13	$478.63	$660.69