Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $870.96 / $6,606.93	Facility		$426.58	$870.96	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $851.14	Professional		$263.03	$380.19	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,122.02	Professional		$389.05	$758.58	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $954.99	Professional		$426.58	$645.65	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $954.99	Facility		$316.23	$537.03	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,023.29	Professional		$478.63	$660.69	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $758.58 / $812.83	Facility		$562.34	$758.58	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $870.96	Facility		$316.23	$501.19	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,000.00	Professional		$79.43	$707.95	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,230.27	Facility		$758.58	$1,000.00	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,071.52	Professional		$588.84	$776.25	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $1,047.13	Professional		$416.87	$724.44	$1,047.13