Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.38 / $3,213.00 / $7,920.26	Facility		$399.38	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $241.71 / $769.00	Professional		$186.59	$241.71	$769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $446.80 / $604.78	Professional		$252.99	$446.80	$604.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.92 / $469.47 / $530.21	Professional		$325.92	$469.47	$530.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.08 / $393.07 / $520.19	Facility		$237.08	$393.07	$520.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $347.57 / $651.44	Professional		$297.60	$347.57	$651.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.72 / $358.18 / $412.05	Facility		$258.72	$358.18	$412.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.08 / $450.50 / $2,724.00	Facility		$237.08	$450.50	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.64 / $473.46 / $604.78	Professional		$332.64	$473.46	$604.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.02 / $504.61 / $645.14	Professional		$377.02	$504.61	$645.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $406.56 / $652.16	Professional		$301.04	$406.56	$652.16