Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $7,943.28	Facility		$309.03	$537.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $575.44	Professional		$109.65	$199.53	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $537.03	Professional		$194.98	$338.84	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $501.19	Professional		$223.87	$346.74	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $288.40 / $549.54	Facility		$165.96	$288.40	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $489.78	Professional		$199.53	$331.13	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $416.87	Facility		$251.19	$380.19	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $436.52	Facility		$165.96	$275.42	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $512.86	Professional		$79.43	$331.13	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $537.03	Professional		$281.84	$398.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $512.86	Professional		$204.17	$316.23	$512.86