Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $489.78 / $4,786.30	Facility		$186.21	$489.78	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $575.44	Professional		$89.13	$190.55	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $630.96	Professional		$154.88	$275.42	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $630.96	Professional		$190.55	$269.15	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $257.04 / $724.44	Facility		$125.89	$257.04	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $588.84	Professional		$169.82	$275.42	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $489.78	Facility		$234.42	$371.54	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $489.78	Facility		$114.82	$223.87	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $630.96	Professional		$79.43	$251.19	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $630.96	Professional		$186.21	$323.59	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $512.86	Professional		$144.54	$263.03	$512.86