Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $7,943.28	Facility		$691.83	$851.14	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $912.01	Professional		$331.13	$416.87	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $870.96	Professional		$338.84	$588.84	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $794.33	Professional		$446.68	$616.60	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $501.19 / $851.14	Facility		$331.13	$501.19	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $812.83	Professional		$501.19	$616.60	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $691.83	Facility		$524.81	$660.69	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $831.76	Facility		$309.03	$501.19	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $676.08 / $912.01	Professional		$79.43	$676.08	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,737.80	Facility		$1,096.48	$1,380.38	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $912.01	Professional		$645.65	$724.44	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,000.00	Professional		$426.58	$676.08	$1,000.00