Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.59 / $338.18 / $6,629.40	Facility		$187.59	$338.18	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $152.65 / $541.00	Professional		$82.89	$152.65	$541.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $263.63 / $414.19	Professional		$158.94	$263.63	$414.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $250.43 / $356.14	Professional		$171.65	$250.43	$356.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.18 / $210.88 / $340.81	Facility		$132.18	$210.88	$340.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $242.85 / $339.51	Professional		$170.79	$242.85	$339.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $202.70 / $298.27	Facility		$145.83	$202.70	$298.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $221.12 / $389.58	Facility		$130.32	$221.12	$389.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $276.27 / $385.28	Professional		$189.44	$276.27	$385.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $293.92 / $430.17	Professional		$203.28	$293.92	$430.17
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $280.16 / $445.49	Professional		$190.08	$280.16	$445.49