Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.41 / $988.00 / $7,920.26	Facility		$213.41	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $145.46 / $308.75	Professional		$97.90	$145.46	$308.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $284.89 / $460.19	Professional		$180.62	$284.89	$460.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.48 / $279.97 / $397.50	Professional		$192.48	$279.97	$397.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.56 / $243.05 / $379.08	Facility		$153.56	$243.05	$379.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $271.66 / $381.96	Professional		$192.14	$271.66	$381.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $221.97 / $332.91	Facility		$156.30	$221.97	$332.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.56 / $246.41 / $435.06	Facility		$153.56	$246.41	$435.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $304.85 / $428.80	Professional		$215.14	$304.85	$428.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $328.23 / $480.38	Professional		$227.24	$328.23	$480.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.94 / $329.79 / $534.38	Professional		$227.94	$329.79	$534.38