Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.78 / $5,180.00 / $7,920.26	Facility		$333.78	$5,180.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $271.37 / $966.00	Professional		$151.00	$271.37	$966.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.30 / $450.48 / $611.66	Professional		$291.30	$450.48	$611.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.06 / $473.30 / $532.88	Professional		$333.06	$473.30	$532.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.37 / $423.20 / $583.45	Facility		$271.37	$423.20	$583.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $376.96 / $664.17	Professional		$310.58	$376.96	$664.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.06 / $398.90 / $416.74	Facility		$295.06	$398.90	$416.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.37 / $506.30 / $3,274.00	Facility		$271.37	$506.30	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.53 / $484.29 / $611.66	Professional		$369.53	$484.29	$611.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $510.35 / $652.48	Professional		$379.48	$510.35	$652.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $450.15 / $656.41	Professional		$316.14	$450.15	$656.41