Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $8,709.64	Facility		$208.93	$354.81	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $407.38	Professional		$87.10	$147.91	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $371.54	Professional		$134.90	$234.42	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $346.74	Professional		$154.88	$234.42	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $338.84	Facility		$109.65	$208.93	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $346.74	Professional		$151.36	$223.87	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $288.40	Facility		$173.78	$257.04	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $295.12	Facility		$112.20	$190.55	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $363.08	Professional		$79.43	$229.09	$363.08
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 $190.55 / $269.15 / $363.08	Professional		$190.55	$269.15	$363.08
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 $138.04 / $218.78 / $346.74	Professional		$138.04	$218.78	$346.74