Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.25 / $4,962.67 / $7,920.26	Facility		$328.25	$4,962.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $266.87 / $880.96	Professional		$168.85	$266.87	$880.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.17 / $433.25 / $614.70	Professional		$229.17	$433.25	$614.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.13 / $433.81 / $555.02	Professional		$333.13	$433.81	$555.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.33 / $344.86 / $490.57	Facility		$201.33	$344.86	$490.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $367.19 / $684.69	Professional		$269.39	$367.19	$684.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.39 / $356.44 / $466.99	Facility		$238.39	$356.44	$466.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.88 / $383.35 / $2,327.00	Facility		$215.88	$383.35	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.54 / $448.79 / $614.24	Professional		$311.54	$448.79	$614.24
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 $337.94 / $459.36 / $663.25	Professional		$337.94	$459.36	$663.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $466.86 / $744.73	Professional		$303.93	$466.86	$744.73