Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $7,943.28	Facility		$144.54	$181.97	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $208.93	Professional		$61.66	$93.33	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $269.15	Professional		$100.00	$165.96	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $275.42	Professional		$109.65	$151.36	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $141.25 / $234.42	Facility		$81.28	$141.25	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $263.03	Professional		$112.20	$173.78	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $218.78	Facility		$125.89	$190.55	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $229.09	Facility		$81.28	$138.04	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $269.15	Professional		$79.43	$162.18	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,398.83	Facility		$1,412.54	$1,995.26	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $275.42	Professional		$138.04	$186.21	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,311.31 / $6,165.95	Facility		$389.05	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $269.15	Professional		$100.00	$162.18	$269.15