Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.44 / $871.24 / $1,366.54	Facility		$338.44	$871.24	$1,366.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $871.24 / $3,326.67 / $5,010.30	Facility	25	$871.24	$3,326.67	$5,010.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $250.00 / $770.05	Professional		$189.83	$250.00	$770.05
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $311.72 / $1,046.07	Professional	25	$189.83	$311.72	$1,046.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.66 / $475.04 / $707.53	Professional		$256.66	$475.04	$707.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.51 / $520.46 / $653.39	Professional		$398.51	$520.46	$653.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.40 / $377.57 / $615.97	Facility		$222.40	$377.57	$615.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.72 / $451.25 / $663.90	Professional		$349.72	$451.25	$663.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.32 / $514.02 / $548.05	Facility		$322.32	$514.02	$548.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.08 / $393.60 / $663.00	Facility		$226.08	$393.60	$663.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.92 / $523.73 / $693.26	Professional		$401.92	$523.73	$693.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,336.17 / $3,047.98 / $3,065.33	Facility		$2,336.17	$3,047.98	$3,065.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $369.14 / $518.37 / $732.11	Professional		$369.14	$518.37	$732.11
United Facility/Professional Professional Modifier Low / Median / High Price $362.95 / $536.90 / $825.93	Professional		$362.95	$536.90	$825.93