Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $13,182.57	Facility		$676.08	$870.96	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $933.25	Professional		$309.03	$398.11	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $1,047.13	Professional		$380.19	$741.31	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $851.14	Professional		$489.78	$630.96	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $1,174.90	Facility		$363.08	$512.86	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Professional		$478.63	$562.34	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $691.83	Facility		$457.09	$616.60	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $467.74 / $758.58	Facility		$363.08	$467.74	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $630.96 / $912.01	Professional		$79.43	$630.96	$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 $630.96 / $741.31 / $933.25	Professional		$630.96	$741.31	$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 $407.38 / $630.96 / $933.25	Professional		$407.38	$630.96	$933.25