Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.40 / $4,962.67 / $8,381.60	Facility		$394.40	$4,962.67	$8,381.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $296.76 / $882.00	Professional		$188.02	$296.76	$882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $426.84 / $582.16	Professional		$272.95	$426.84	$582.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.76 / $456.45 / $513.96	Professional		$318.76	$456.45	$513.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $419.05 / $601.70	Facility		$279.86	$419.05	$601.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.72 / $351.00 / $633.40	Professional		$291.72	$351.00	$633.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $371.68 / $396.64	Facility		$275.20	$371.68	$396.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $473.93 / $3,274.00	Facility		$279.86	$473.93	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.83 / $452.17 / $580.90	Professional		$347.83	$452.17	$580.90
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 $359.18 / $485.74 / $621.01	Professional		$359.18	$485.74	$621.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $428.63 / $621.30	Professional		$301.04	$428.63	$621.30