Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $6,606.93	Facility		$323.59	$562.34	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $602.56	Professional		$114.82	$213.80	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $616.60	Professional		$229.09	$371.54	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $575.44	Professional		$239.88	$346.74	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $602.56	Facility		$169.82	$323.59	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $549.54	Professional		$208.93	$354.81	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $489.78	Facility		$295.12	$457.09	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $512.86	Facility		$173.78	$295.12	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $616.60	Professional		$79.43	$371.54	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,621.81	Facility		$891.25	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $616.60	Professional		$295.12	$416.87	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $616.60	Professional		$213.80	$354.81	$616.60