Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $7,943.28	Facility		$147.91	$229.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $501.19	Professional		$64.57	$138.04	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $389.05	Professional		$104.71	$190.55	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $363.08	Professional		$107.15	$154.88	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $331.13	Facility		$79.43	$154.88	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $363.08	Professional		$104.71	$194.98	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $316.23	Facility		$151.36	$263.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $309.03	Facility		$81.28	$151.36	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $389.05	Professional		$79.43	$181.97	$389.05
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 $144.54 / $245.47 / $389.05	Professional		$144.54	$245.47	$389.05
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 $107.15 / $194.98 / $389.05	Professional		$107.15	$194.98	$389.05