Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.87 / $5,116.62 / $9,417.42	Facility		$328.87	$5,116.62	$9,417.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $329.62 / $981.00	Professional		$163.34	$329.62	$981.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $419.22 / $852.11	Professional		$258.52	$419.22	$852.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.44 / $389.53 / $738.65	Professional		$284.44	$389.53	$738.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $419.29 / $660.28	Facility		$195.02	$419.29	$660.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.25 / $438.62 / $827.52	Professional		$241.25	$438.62	$827.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.13 / $496.78 / $641.86	Facility		$294.13	$496.78	$641.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $423.39 / $910.29	Facility		$195.02	$423.39	$910.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $451.07 / $850.14	Professional		$286.83	$451.07	$850.14
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 $286.80 / $484.04 / $904.86	Professional		$286.80	$484.04	$904.86
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 $421.26 / $553.41 / $1,016.01	Professional		$421.26	$553.41	$1,016.01