Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $758.58 / $1,905.46	Facility		$234.42	$758.58	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $537.03	Professional		$87.10	$154.88	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $331.13	Professional		$131.83	$208.93	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $316.23	Professional		$141.25	$218.78	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $954.99	Facility		$109.65	$213.80	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $316.23	Professional		$141.25	$208.93	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $208.93 / $263.03	Facility		$123.03	$208.93	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $269.15	Facility		$100.00	$173.78	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $323.59	Professional		$79.43	$208.93	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $331.13	Professional		$177.83	$245.47	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $323.59	Professional		$125.89	$199.53	$323.59