Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $7,943.28	Facility		$707.95	$933.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $891.25	Professional		$316.23	$398.11	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,122.02	Professional		$398.11	$776.25	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $891.25	Professional		$512.86	$676.08	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $537.03 / $1,258.93	Facility		$346.74	$537.03	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $933.25	Professional		$478.63	$562.34	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $724.44	Facility		$446.68	$616.60	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $776.25	Facility		$338.84	$467.74	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $954.99	Professional		$79.43	$660.69	$954.99
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 $660.69 / $776.25 / $977.24	Professional		$660.69	$776.25	$977.24
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 $389.05 / $630.96 / $954.99	Professional		$389.05	$630.96	$954.99