Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.43 / $2,747.00 / $7,920.26	Facility		$296.43	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $334.28 / $1,181.00	Professional		$158.13	$334.28	$1,181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $422.76 / $889.30	Professional		$260.08	$422.76	$889.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.38 / $420.04 / $751.31	Professional		$286.38	$420.04	$751.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.32 / $422.09 / $720.12	Facility		$196.32	$422.09	$720.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $456.95 / $842.67	Professional		$242.30	$456.95	$842.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.47 / $521.26 / $655.93	Facility		$295.47	$521.26	$655.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $570.72 / $2,327.00	Facility		$229.97	$570.72	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $463.05 / $891.91	Professional		$288.14	$463.05	$891.91
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 $288.08 / $512.73 / $927.60	Professional		$288.08	$512.73	$927.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.10 / $676.47 / $1,041.57	Professional		$485.10	$676.47	$1,041.57