Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,513.56 / $7,943.28	Facility		$302.00	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $954.99	Professional		$165.96	$302.00	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $977.24	Professional		$218.78	$446.68	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $812.83	Professional		$251.19	$389.05	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $1,258.93	Facility		$173.78	$407.38	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $891.25	Professional		$229.09	$398.11	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $724.44	Facility		$371.54	$575.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $363.08 / $645.65	Facility		$173.78	$363.08	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $912.01	Professional		$79.43	$380.19	$912.01
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 $295.12 / $524.81 / $933.25	Professional		$295.12	$524.81	$933.25
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 $234.42 / $426.58 / $891.25	Professional		$234.42	$426.58	$891.25