Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $446.68 / $6,606.93	Facility		$213.80	$446.68	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $371.54	Professional		$100.00	$158.49	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $426.58	Professional		$165.96	$269.15	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $416.87	Professional		$186.21	$281.84	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $2,818.38	Facility		$138.04	$245.47	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $398.11	Professional		$177.83	$269.15	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $346.74	Facility		$162.18	$269.15	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $354.81	Facility		$131.83	$218.78	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $426.58	Professional		$79.43	$257.04	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $426.58	Professional		$213.80	$302.00	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $426.58	Professional		$154.88	$251.19	$426.58