Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.79 / $3,213.00 / $7,920.26	Facility		$375.79	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $305.93 / $1,274.00	Professional		$189.00	$305.93	$1,274.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.41 / $500.91 / $797.40	Professional		$303.41	$500.91	$797.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.15 / $483.76 / $680.23	Professional		$357.15	$483.76	$680.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.44 / $480.69 / $765.21	Facility		$288.44	$480.69	$765.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $452.88 / $757.96	Professional		$306.00	$452.88	$757.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.24 / $510.84 / $574.86	Facility		$329.24	$510.84	$574.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.44 / $498.95 / $765.21	Facility		$288.44	$498.95	$765.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.75 / $532.60 / $779.75	Professional		$354.75	$532.60	$779.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,786.71 / $5,069.89 / $6,839.08	Facility		$3,786.71	$5,069.89	$6,839.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.07 / $521.13 / $802.53	Professional		$356.07	$521.13	$802.53
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 $425.87 / $604.82 / $892.72	Professional		$425.87	$604.82	$892.72