Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $6,606.93	Facility		$295.12	$602.56	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $478.63	Professional		$128.82	$208.93	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $575.44	Professional		$208.93	$354.81	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $549.54	Professional		$223.87	$316.23	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $724.44	Facility		$162.18	$295.12	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $524.81	Professional		$223.87	$363.08	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $426.58 / $467.74	Facility		$281.84	$426.58	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $269.15 / $478.63	Facility		$165.96	$269.15	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $575.44	Professional		$79.43	$338.84	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,818.38	Facility		$1,737.80	$2,238.72	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $588.84	Professional		$288.40	$426.58	$588.84
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 $194.98 / $331.13 / $575.44	Professional		$194.98	$331.13	$575.44