Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.32 / $2,504.66 / $7,920.26	Facility		$282.32	$2,504.66	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $184.98 / $703.25	Professional		$135.55	$184.98	$703.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $313.27 / $446.74	Professional		$208.13	$313.27	$446.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $314.31 / $391.16	Professional		$254.70	$314.31	$391.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.98 / $293.83 / $403.75	Facility		$184.98	$293.83	$403.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.69 / $305.00 / $482.31	Professional		$216.69	$305.00	$482.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.84 / $307.20 / $335.92	Facility		$221.84	$307.20	$335.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.98 / $338.58 / $2,748.00	Facility		$184.98	$338.58	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.75 / $338.55 / $463.48	Professional		$250.75	$338.55	$463.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $261.55 / $346.18 / $467.12	Professional		$261.55	$346.18	$467.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $341.27 / $524.49	Professional		$242.77	$341.27	$524.49