Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $6,606.93	Facility		$316.23	$501.19	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $616.60	Professional		$147.91	$229.09	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $602.56	Professional		$213.80	$407.38	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $537.03	Professional		$234.42	$371.54	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $537.03	Facility		$204.17	$323.59	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $524.81	Professional		$239.88	$338.84	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $446.68	Facility		$288.40	$407.38	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $302.00 / $467.74	Facility		$194.98	$302.00	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $562.34	Professional		$79.43	$371.54	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $575.44	Professional		$302.00	$426.58	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $575.44	Professional		$213.80	$380.19	$575.44