Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $512.86 / $7,943.28	Facility		$302.00	$512.86	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $512.86	Professional		$194.98	$245.47	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $630.96	Professional		$239.88	$457.09	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $549.54	Professional		$275.42	$407.38	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $537.03	Facility		$234.42	$338.84	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $602.56	Professional		$288.40	$380.19	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $467.74	Facility		$323.59	$416.87	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $316.23 / $489.78	Facility		$223.87	$316.23	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $588.84	Professional		$79.43	$416.87	$588.84
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 $363.08 / $457.09 / $616.60	Professional		$363.08	$457.09	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $602.56	Professional		$269.15	$407.38	$602.56