Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.55 / $4,962.67 / $7,920.26	Facility		$439.55	$4,962.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $316.60 / $1,140.00	Professional		$246.06	$316.60	$1,140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $524.82 / $712.95	Professional		$340.85	$524.82	$712.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.87 / $552.23 / $621.75	Professional		$388.87	$552.23	$621.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.60 / $495.93 / $680.69	Facility		$316.60	$495.93	$680.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.59 / $438.96 / $774.51	Professional		$361.59	$438.96	$774.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.45 / $470.95 / $496.40	Facility		$345.45	$470.95	$496.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.60 / $592.62 / $3,274.00	Facility		$316.60	$592.62	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.51 / $564.33 / $712.95	Professional		$430.51	$564.33	$712.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $441.59 / $594.86 / $760.53	Professional		$441.59	$594.86	$760.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.23 / $524.54 / $763.88	Professional		$375.23	$524.54	$763.88