Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $317.02 / $599.04	Facility		$259.79	$317.02	$599.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $637.90 / $1,328.37	Professional		$317.02	$637.90	$1,328.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.30 / $601.80 / $1,161.23	Professional		$502.30	$601.80	$1,161.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $332.20 / $586.98	Professional		$243.19	$332.20	$586.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.74 / $366.80 / $600.09	Facility		$182.74	$366.80	$600.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $290.08 / $290.08	Professional		$290.08	$290.08	$290.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.24 / $416.00 / $487.14	Facility		$251.24	$416.00	$487.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.74 / $453.61 / $788.62	Facility		$182.74	$453.61	$788.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $404.46 / $666.81	Professional		$249.56	$404.46	$666.81
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 $246.66 / $415.47 / $683.15	Professional		$246.66	$415.47	$683.15
United Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $523.61 / $767.08	Professional		$361.60	$523.61	$767.08