Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,380.38 / $2,630.27	Facility		$234.42	$1,380.38	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $426.58	Professional		$107.15	$186.21	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $436.52	Professional		$173.78	$281.84	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $380.19	Professional		$154.88	$257.04	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $389.05 / $2,290.87	Facility		$158.49	$389.05	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $446.68	Professional		$154.88	$269.15	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $389.05	Facility		$234.42	$302.00	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $524.81	Facility		$131.83	$213.80	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $426.58	Professional		$79.43	$263.03	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,454.71	Facility		$1,513.56	$2,041.74	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $398.11	Professional		$208.93	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,884.03 / $7,413.10	Facility		$1,096.48	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $436.52	Professional		$169.82	$275.42	$436.52