Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $7,943.28	Facility		$346.74	$575.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $457.09	Professional		$162.18	$213.80	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $616.60	Professional		$223.87	$426.58	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $537.03	Professional		$245.47	$371.54	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $489.78	Facility		$199.53	$295.12	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $575.44	Professional		$263.03	$316.23	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $467.74	Facility		$257.04	$380.19	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $436.52	Facility		$199.53	$269.15	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $588.84	Professional		$79.43	$380.19	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
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 $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $588.84	Professional		$218.78	$346.74	$588.84