Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.22 / $2,865.35 / $6,629.40	Facility		$379.22	$2,865.35	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.84 / $312.94 / $1,076.89	Professional		$194.84	$312.94	$1,076.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.85 / $426.18 / $600.32	Professional		$288.85	$426.18	$600.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.94 / $434.59 / $525.77	Professional		$351.94	$434.59	$525.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.99 / $440.88 / $702.27	Facility		$252.99	$440.88	$702.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.67 / $454.92 / $652.26	Professional		$314.67	$454.92	$652.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.51 / $427.99 / $550.20	Facility		$303.51	$427.99	$550.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.99 / $513.79 / $2,748.00	Facility		$252.99	$513.79	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.28 / $73.28 / $73.28	Facility	AS	$73.28	$73.28	$73.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.05 / $476.30 / $623.16	Professional		$349.05	$476.30	$623.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.09 / $4,483.20 / $5,995.38	Facility		$1,905.09	$4,483.20	$5,995.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $482.76 / $647.54	Professional		$363.84	$482.76	$647.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $556.10 / $740.38	Professional		$338.00	$556.10	$740.38