Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.44 / $351.12 / $7,920.26	Facility		$165.44	$351.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $115.54 / $402.62	Professional		$62.64	$115.54	$402.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $213.29 / $421.11	Professional		$118.36	$213.29	$421.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $175.95 / $362.55	Professional		$132.94	$175.95	$362.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $187.58 / $338.77	Facility		$100.84	$187.58	$338.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $236.59 / $324.19	Professional		$119.01	$236.59	$324.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $203.59 / $303.64	Facility		$141.22	$203.59	$303.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $196.39 / $404.17	Facility		$94.19	$196.39	$404.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $218.54 / $392.03	Professional		$136.53	$218.54	$392.03
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 $144.37 / $256.94 / $446.27	Professional		$144.37	$256.94	$446.27
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 $203.64 / $297.64 / $466.14	Professional		$203.64	$297.64	$466.14