Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.33 / $330.54 / $7,920.26	Facility		$155.33	$330.54	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $115.37 / $244.10	Professional		$67.56	$115.37	$244.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $203.56 / $396.89	Professional		$112.09	$203.56	$396.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $161.02 / $337.25	Professional		$123.20	$161.02	$337.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $175.96 / $338.77	Facility		$92.83	$175.96	$338.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $218.55 / $304.05	Professional		$111.18	$218.55	$304.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $244.53 / $293.45	Facility		$120.84	$244.53	$293.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.93 / $188.62 / $378.42	Facility		$93.93	$188.62	$378.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $206.48 / $370.55	Professional		$131.44	$206.48	$370.55
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 $134.01 / $220.62 / $417.85	Professional		$134.01	$220.62	$417.85
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 $191.00 / $275.31 / $451.68	Professional		$191.00	$275.31	$451.68