Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $564.39 / $7,920.26	Facility		$188.06	$564.39	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $159.55 / $463.38	Professional		$84.40	$159.55	$463.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $283.18 / $678.23	Professional		$160.50	$283.18	$678.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.91 / $256.62 / $577.22	Professional		$189.91	$256.62	$577.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $268.76 / $475.13	Facility		$136.87	$268.76	$475.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $288.95 / $547.02	Professional		$170.26	$288.95	$547.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.10 / $339.83 / $483.43	Facility		$189.10	$339.83	$483.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $295.64 / $650.44	Facility		$136.87	$295.64	$650.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $303.83 / $625.82	Professional		$191.57	$303.83	$625.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.89 / $333.58 / $718.21	Professional		$191.89	$333.58	$718.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.56 / $371.39 / $657.34	Professional		$289.56	$371.39	$657.34