Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $15,848.93	Facility		$398.11	$616.60	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $812.83	Professional		$190.55	$257.04	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $741.31	Professional		$257.04	$512.86	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $575.44	Professional		$316.23	$467.74	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $575.44	Facility		$234.42	$338.84	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $660.69	Professional		$331.13	$389.05	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $436.52 / $512.86	Facility		$316.23	$436.52	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $501.19	Facility		$229.09	$309.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $467.74 / $645.65	Professional		$79.43	$467.74	$645.65
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 $416.87 / $524.81 / $691.83	Professional		$416.87	$524.81	$691.83
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 $275.42 / $426.58 / $660.69	Professional		$275.42	$426.58	$660.69