Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $410.62 / $7,920.26	Facility		$186.23	$410.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $131.78 / $363.42	Professional		$63.99	$131.78	$363.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $253.73 / $452.72	Professional		$147.13	$253.73	$452.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $228.33 / $388.30	Professional		$169.18	$228.33	$388.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $208.38 / $372.16	Facility		$114.86	$208.38	$372.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $255.00 / $347.09	Professional		$150.51	$255.00	$347.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.06 / $282.14 / $335.00	Facility		$133.06	$282.14	$335.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $228.25 / $424.76	Facility		$112.01	$228.25	$424.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $258.89 / $422.43	Professional		$170.14	$258.89	$422.43
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 $177.39 / $298.24 / $469.01	Professional		$177.39	$298.24	$469.01
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 $218.04 / $312.00 / $496.13	Professional		$218.04	$312.00	$496.13