Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.34 / $2,747.00 / $7,920.26	Facility		$529.34	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $373.99 / $1,385.59	Professional		$280.45	$373.99	$1,385.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.13 / $543.49 / $779.82	Professional		$361.13	$543.49	$779.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.35 / $581.66 / $662.16	Professional		$412.35	$581.66	$662.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.25 / $502.17 / $755.02	Facility		$252.25	$502.17	$755.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.77 / $603.54 / $842.40	Professional		$423.77	$603.54	$842.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.92 / $502.31 / $541.28	Facility		$348.92	$502.31	$541.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.25 / $547.65 / $755.02	Facility		$252.25	$547.65	$755.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.06 / $630.44 / $817.82	Professional		$464.06	$630.44	$817.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,421.39 / $1,421.39 / $1,421.39	Facility		$1,421.39	$1,421.39	$1,421.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $488.34 / $642.42 / $846.25	Professional		$488.34	$642.42	$846.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $611.40 / $836.86	Professional		$408.00	$611.40	$836.86