Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.73 / $2,240.08 / $7,920.26	Facility		$229.73	$2,240.08	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $150.59 / $531.70	Professional		$77.34	$150.59	$531.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $286.76 / $467.34	Professional		$171.46	$286.76	$467.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.07 / $277.55 / $403.70	Professional		$188.07	$277.55	$403.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.90 / $237.09 / $384.10	Facility		$149.90	$237.09	$384.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $273.18 / $372.41	Professional		$193.02	$273.18	$372.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.75 / $224.25 / $338.10	Facility		$161.75	$224.25	$338.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.62 / $249.18 / $442.78	Facility		$149.62	$249.18	$442.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $305.02 / $434.66	Professional		$210.56	$305.02	$434.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.35 / $326.89 / $488.91	Professional		$223.35	$326.89	$488.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $318.77 / $499.22	Professional		$217.89	$318.77	$499.22