Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.20 / $2,050.77 / $7,920.26	Facility		$388.20	$2,050.77	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $218.28 / $779.00	Professional		$171.28	$218.28	$779.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.08 / $464.88 / $661.99	Professional		$250.08	$464.88	$661.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.96 / $467.53 / $597.69	Professional		$361.96	$467.53	$597.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.28 / $370.37 / $527.59	Facility		$218.28	$370.37	$527.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $292.74 / $395.56 / $735.75	Professional		$292.74	$395.56	$735.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.48 / $388.28 / $501.83	Facility		$256.48	$388.28	$501.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.66 / $418.20 / $2,327.00	Facility		$232.66	$418.20	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.52 / $483.75 / $656.63	Professional		$337.52	$483.75	$656.63
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 $366.43 / $498.08 / $710.63	Professional		$366.43	$498.08	$710.63
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 $331.76 / $446.60 / $797.91	Professional		$331.76	$446.60	$797.91