Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $388.26 / $7,920.26	Facility		$115.51	$388.26	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $134.72 / $311.20	Professional		$53.38	$134.72	$311.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $178.01 / $419.51	Professional		$91.62	$178.01	$419.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $135.32 / $359.63	Professional		$100.43	$135.32	$359.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.87 / $164.73 / $351.53	Facility		$72.87	$164.73	$351.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $244.98 / $367.46	Professional		$92.94	$244.98	$367.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.88 / $218.47 / $301.18	Facility		$152.88	$218.47	$301.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.87 / $190.90 / $401.59	Facility		$72.87	$190.90	$401.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $187.35 / $395.78	Professional		$105.41	$187.35	$395.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $976.79 / $1,714.91 / $2,351.11	Facility		$976.79	$1,714.91	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $192.42 / $443.43	Professional		$108.12	$192.42	$443.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.89 / $282.02 / $446.52	Professional		$194.89	$282.02	$446.52