Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,019.95 / $7,943.28	Facility		$416.87	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $977.24	Professional		$194.98	$309.03	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $602.56	Professional		$257.04	$446.68	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $537.03	Professional		$234.42	$426.58	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $5,495.41	Facility		$251.19	$457.09	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $616.60	Professional		$281.84	$446.68	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $478.63	Facility		$363.08	$426.58	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $354.81 / $602.56	Facility		$223.87	$354.81	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $602.56	Professional		$79.43	$416.87	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,466.84 / $6,165.95	Facility		$1,905.46	$4,466.84	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $645.65	Professional		$363.08	$457.09	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $630.96	Professional		$288.40	$436.52	$630.96