Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $338.84 / $6,606.93	Facility		$165.96	$338.84	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $371.54	Professional		$70.79	$134.90	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $323.59	Professional		$120.23	$194.98	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $309.03	Professional		$125.89	$186.21	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $398.11	Facility		$95.50	$165.96	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $295.12	Professional		$123.03	$194.98	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $257.04	Facility		$138.04	$208.93	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $263.03	Facility		$95.50	$158.49	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $323.59	Professional		$79.43	$190.55	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $323.59	Professional		$154.88	$218.78	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $309.03	Professional		$109.65	$181.97	$309.03