Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $891.25 / $7,943.28	Facility		$338.84	$891.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $794.33	Professional		$154.88	$331.13	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $891.25	Professional		$208.93	$426.58	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $758.58	Professional		$257.04	$389.05	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $426.58 / $1,122.02	Facility		$194.98	$426.58	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $741.31	Professional		$223.87	$446.68	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $660.69	Facility		$380.19	$562.34	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $676.08	Facility		$186.21	$371.54	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $812.83	Professional		$79.43	$380.19	$812.83
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 $288.40 / $489.78 / $831.76	Professional		$288.40	$489.78	$831.76
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 $229.09 / $426.58 / $851.14	Professional		$229.09	$426.58	$851.14