Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $6,606.93	Facility		$407.38	$616.60	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $616.60	Professional		$208.93	$295.12	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $831.76	Professional		$275.42	$524.81	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $676.08	Professional		$309.03	$467.74	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $741.31	Facility		$269.15	$416.87	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $645.65	Professional		$323.59	$478.63	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $616.60	Facility		$407.38	$537.03	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $645.65	Facility		$245.47	$389.05	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $501.19 / $707.95	Professional		$79.43	$501.19	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $6,025.60	Facility		$3,715.35	$4,786.30	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $691.83	Professional		$380.19	$524.81	$691.83
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 $302.00 / $501.19 / $758.58	Professional		$302.00	$501.19	$758.58