Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $891.25 / $13,182.57	Facility		$371.54	$891.25	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $794.33	Professional		$173.78	$346.74	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $933.25	Professional		$245.47	$489.78	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $851.14	Professional		$302.00	$467.74	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $436.52 / $891.25	Facility		$213.80	$436.52	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $812.83	Professional		$281.84	$489.78	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $707.95	Facility		$436.52	$616.60	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $707.95	Facility		$213.80	$426.58	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $891.25	Professional		$79.43	$457.09	$891.25
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 $354.81 / $588.84 / $912.01	Professional		$354.81	$588.84	$912.01
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 $281.84 / $501.19 / $912.01	Professional		$281.84	$501.19	$912.01