Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $357.80 / $7,920.26	Facility		$202.50	$357.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $206.69 / $789.27	Professional		$144.03	$206.69	$789.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $261.86 / $432.53	Professional		$165.40	$261.86	$432.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $246.15 / $376.82	Professional		$165.26	$246.15	$376.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.78 / $236.01 / $471.13	Facility		$143.78	$236.01	$471.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $268.11 / $380.64	Professional		$173.78	$268.11	$380.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $287.04 / $355.68	Facility		$162.13	$287.04	$355.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.03 / $247.81 / $463.82	Facility		$144.03	$247.81	$463.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.85 / $290.23 / $415.80	Professional		$187.85	$290.23	$415.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.57 / $308.81 / $451.96	Professional		$193.57	$308.81	$451.96
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.05 / $309.06 / $502.75	Professional		$218.05	$309.06	$502.75