Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $812.83 / $6,918.31	Facility		$251.19	$812.83	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $512.86	Professional		$75.86	$151.36	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $436.52	Professional		$162.18	$263.03	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $416.87	Professional		$169.82	$245.47	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $2,089.30	Facility		$128.82	$245.47	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $398.11	Professional		$134.90	$257.04	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $281.84 / $346.74	Facility		$173.78	$281.84	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $354.81	Facility		$128.82	$213.80	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $436.52	Professional		$79.43	$257.04	$436.52
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 $213.80 / $295.12 / $436.52	Professional		$213.80	$295.12	$436.52
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 $151.36 / $245.47 / $416.87	Professional		$151.36	$245.47	$416.87