Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $13,803.84	Facility		$467.74	$588.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $524.81	Professional		$194.98	$251.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $707.95	Professional		$269.15	$501.19	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $575.44	Professional		$331.13	$436.52	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $794.33	Facility		$251.19	$354.81	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $630.96	Professional		$354.81	$416.87	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $489.78	Facility		$363.08	$457.09	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $331.13 / $575.44	Facility		$239.88	$331.13	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $645.65	Professional		$79.43	$457.09	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $660.69	Professional		$446.68	$512.86	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $676.08	Professional		$309.03	$467.74	$676.08