Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.04 / $2,747.00 / $7,920.26	Facility		$405.04	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $405.04 / $1,057.01	Professional		$200.94	$405.04	$1,057.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $414.56 / $595.92	Professional		$275.52	$414.56	$595.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $443.27 / $504.61	Professional		$314.58	$443.27	$504.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.23 / $383.83 / $577.08	Facility		$192.23	$383.83	$577.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.43 / $460.65 / $642.95	Professional		$323.43	$460.65	$642.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.37 / $383.21 / $410.04	Facility		$282.37	$383.21	$410.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.23 / $418.59 / $577.08	Facility		$192.23	$418.59	$577.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.86 / $481.77 / $623.15	Professional		$353.86	$481.77	$623.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,078.92 / $1,078.92 / $1,078.92	Facility		$1,078.92	$1,078.92	$1,078.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $372.10 / $489.51 / $644.80	Professional		$372.10	$489.51	$644.80
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 $314.08 / $427.00 / $637.67	Professional		$314.08	$427.00	$637.67