Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $7,943.28	Facility		$416.87	$537.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $524.81	Professional		$204.17	$239.88	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $645.65	Professional		$234.42	$446.68	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $537.03	Professional		$309.03	$407.38	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $676.08	Facility		$234.42	$380.19	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $549.54	Professional		$309.03	$389.05	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $407.38 / $416.87	Facility		$316.23	$407.38	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $316.23 / $501.19	Facility		$234.42	$316.23	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $398.11 / $575.44	Professional		$79.43	$398.11	$575.44
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 $380.19 / $446.68 / $575.44	Professional		$380.19	$446.68	$575.44
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 $269.15 / $407.38 / $575.44	Professional		$269.15	$407.38	$575.44