Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $436.52 / $6,606.93	Facility		$239.88	$436.52	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $489.78	Professional		$173.78	$257.04	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $630.96	Professional		$223.87	$426.58	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $602.56	Professional		$263.03	$416.87	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $562.34	Facility		$223.87	$338.84	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $575.44	Professional		$269.15	$371.54	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $467.74	Facility		$316.23	$426.58	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $524.81	Facility		$213.80	$338.84	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $398.11 / $588.84	Professional		$79.43	$398.11	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $602.56	Professional		$323.59	$446.68	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $588.84	Professional		$251.19	$398.11	$588.84