Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $2,792.00 / $7,920.26	Facility		$284.39	$2,792.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $235.21 / $598.70	Professional		$152.90	$235.21	$598.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $367.40 / $599.74	Professional		$225.27	$367.40	$599.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $367.97 / $541.49	Professional		$271.66	$367.97	$541.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $328.76 / $508.65	Facility		$152.91	$328.76	$508.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.97 / $340.56 / $625.23	Professional		$236.97	$340.56	$625.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $228.63 / $372.52 / $466.32	Facility		$228.63	$372.52	$466.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $356.04 / $598.10	Facility		$152.91	$356.04	$598.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.95 / $408.64 / $612.48	Professional		$278.95	$408.64	$612.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $428.68 / $660.41	Professional		$285.50	$428.68	$660.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $424.08 / $734.63	Professional		$325.95	$424.08	$734.63