Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $851.14 / $7,943.28	Facility		$323.59	$851.14	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $851.14	Professional		$165.96	$380.19	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $467.74 / $1,047.13	Professional		$218.78	$467.74	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $851.14	Professional		$269.15	$416.87	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $446.68 / $933.25	Facility		$204.17	$446.68	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $549.54 / $912.01	Professional		$245.47	$549.54	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $776.25	Facility		$478.63	$691.83	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $398.11 / $891.25	Facility		$190.55	$398.11	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $407.38 / $954.99	Professional		$79.43	$407.38	$954.99
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 $309.03 / $549.54 / $954.99	Professional		$309.03	$549.54	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $9,120.11	Facility		$1,096.48	$3,715.35	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $977.24	Professional		$251.19	$489.78	$977.24