Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.06 / $545.85 / $7,920.26	Facility		$333.06	$545.85	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $270.91 / $621.32	Professional		$183.21	$270.91	$621.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.29 / $437.62 / $625.39	Professional		$255.29	$437.62	$625.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $440.90 / $564.65	Professional		$326.52	$440.90	$564.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.02 / $400.14 / $559.04	Facility		$238.02	$400.14	$559.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.73 / $373.80 / $685.65	Professional		$272.73	$373.80	$685.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.89 / $408.70 / $467.66	Facility		$288.89	$408.70	$467.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.02 / $449.84 / $1,738.00	Facility		$238.02	$449.84	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.74 / $442.06 / $626.09	Professional		$313.74	$442.06	$626.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $322.41 / $446.06 / $652.83	Professional		$322.41	$446.06	$652.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.94 / $447.49 / $726.20	Professional		$327.94	$447.49	$726.20