Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.10 / $1,451.50 / $7,920.26	Facility		$190.10	$1,451.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $147.61 / $428.11	Professional		$79.02	$147.61	$428.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $259.66 / $420.95	Professional		$155.49	$259.66	$420.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $251.23 / $365.42	Professional		$172.04	$251.23	$365.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.68 / $214.76 / $349.20	Facility		$136.68	$214.76	$349.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $244.18 / $340.56	Professional		$171.32	$244.18	$340.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $204.94 / $306.02	Facility		$148.88	$204.94	$306.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $226.30 / $403.31	Facility		$130.38	$226.30	$403.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $275.47 / $394.96	Professional		$191.36	$275.47	$394.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,274.82 / $1,579.21	Facility		$900.57	$1,274.82	$1,579.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $300.36 / $445.33	Professional		$205.23	$300.36	$445.33
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 $204.45 / $287.10 / $449.62	Professional		$204.45	$287.10	$449.62