Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $379.06 / $7,920.26	Facility		$156.44	$379.06	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $121.03 / $260.20	Professional		$63.50	$121.03	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $204.92 / $411.23	Professional		$112.55	$204.92	$411.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $168.65 / $353.82	Professional		$127.44	$168.65	$353.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $178.45 / $348.98	Facility		$97.47	$178.45	$348.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $227.04 / $323.52	Professional		$114.21	$227.04	$323.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $253.65 / $305.52	Facility		$121.98	$253.65	$305.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $192.40 / $393.01	Facility		$94.15	$192.40	$393.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $208.89 / $383.69	Professional		$130.81	$208.89	$383.69
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 $135.94 / $223.82 / $433.96	Professional		$135.94	$223.82	$433.96
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 $158.43 / $276.57 / $453.74	Professional		$158.43	$276.57	$453.74