Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,128.61 / $7,943.28	Facility		$416.87	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $831.76	Professional		$204.17	$263.03	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $446.68 / $630.96	Professional		$229.09	$446.68	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $512.86	Professional		$295.12	$389.05	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $5,370.32	Facility		$251.19	$389.05	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $562.34	Professional		$309.03	$380.19	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $407.38 / $416.87	Facility		$331.13	$407.38	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $501.19	Facility		$218.78	$309.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $398.11 / $562.34	Professional		$79.43	$398.11	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $562.34	Professional		$380.19	$446.68	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,120.11	Facility		$1,698.24	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $588.84	Professional		$269.15	$416.87	$588.84