Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $13,182.57	Facility		$524.81	$660.69	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $645.65	Professional		$263.03	$323.59	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $562.34 / $794.33	Professional		$288.40	$562.34	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $645.65	Professional		$363.08	$478.63	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $891.25	Facility		$309.03	$489.78	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $691.83	Professional		$380.19	$478.63	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $524.81	Facility		$426.58	$512.86	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $645.65	Facility		$281.84	$407.38	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $707.95	Professional		$79.43	$512.86	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $707.95	Professional		$489.78	$562.34	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $741.31	Professional		$338.84	$524.81	$741.31