Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.60 / $4,684.68 / $8,728.00	Facility		$429.60	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $226.90 / $767.54	Professional		$181.57	$226.90	$767.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $465.81 / $635.16	Professional		$286.87	$465.81	$635.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.71 / $457.62 / $570.80	Professional		$367.71	$457.62	$570.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.90 / $416.07 / $536.35	Facility		$226.90	$416.07	$536.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.36 / $397.02 / $712.20	Professional		$314.36	$397.02	$712.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $304.75 / $421.06 / $485.75	Facility		$304.75	$421.06	$485.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.90 / $457.65 / $620.41	Facility		$226.90	$457.65	$620.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.14 / $491.61 / $657.25	Professional		$364.14	$491.61	$657.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,799.56 / $2,403.83 / $3,156.31	Facility		$1,799.56	$2,403.83	$3,156.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $504.23 / $685.04	Professional		$378.08	$504.23	$685.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.74 / $480.32 / $769.18	Professional		$357.74	$480.32	$769.18