Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.35 / $419.71 / $6,629.40	Facility		$233.35	$419.71	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $180.90 / $593.64	Professional		$93.51	$180.90	$593.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $310.22 / $487.70	Professional		$198.95	$310.22	$487.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $323.27 / $421.29	Professional		$222.39	$323.27	$421.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $260.33 / $407.90	Facility		$170.80	$260.33	$407.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $284.61 / $440.31	Professional		$221.50	$284.61	$440.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.21 / $233.51 / $352.82	Facility		$165.21	$233.51	$352.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.34 / $260.33 / $462.52	Facility		$170.34	$260.33	$462.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.07 / $331.70 / $453.09	Professional		$245.07	$331.70	$453.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.09 / $352.19 / $510.70	Professional		$249.09	$352.19	$510.70
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 $235.92 / $332.99 / $528.17	Professional		$235.92	$332.99	$528.17