Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $7,943.28	Facility		$549.54	$691.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $691.83	Professional		$281.84	$338.84	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $831.76	Professional		$302.00	$588.84	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $676.08	Professional		$389.05	$512.86	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $467.74 / $933.25	Facility		$331.13	$467.74	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $741.31	Professional		$407.38	$512.86	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $549.54	Facility		$446.68	$537.03	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $416.87 / $676.08	Facility		$288.40	$416.87	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $741.31	Professional		$79.43	$524.81	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $741.31	Professional		$512.86	$588.84	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $776.25	Professional		$354.81	$549.54	$776.25