Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $275.42 / $6,606.93	Facility		$123.03	$275.42	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $389.05	Professional		$57.54	$117.49	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $309.03	Professional		$91.20	$158.49	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $288.40	Professional		$97.72	$131.83	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $154.88 / $316.23	Facility		$74.13	$154.88	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $281.84	Professional		$97.72	$186.21	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $251.19	Facility		$147.91	$234.42	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $275.42	Facility		$74.13	$147.91	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $309.03	Professional		$79.43	$151.36	$309.03
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 $120.23 / $204.17 / $309.03	Professional		$120.23	$204.17	$309.03
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 $95.50 / $162.18 / $302.00	Professional		$95.50	$162.18	$302.00