Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $239.30 / $7,920.26	Facility		$159.19	$239.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $100.37 / $256.22	Professional		$56.64	$100.37	$256.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $172.93 / $285.62	Professional		$108.28	$172.93	$285.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $170.56 / $255.88	Professional		$115.18	$170.56	$255.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $150.82 / $238.21	Facility		$92.26	$150.82	$238.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $165.72 / $231.31	Professional		$119.48	$165.72	$231.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $179.85 / $219.09	Facility		$115.20	$179.85	$219.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $150.82 / $278.02	Facility		$92.26	$150.82	$278.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $187.53 / $271.41	Professional		$133.30	$187.53	$271.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.49 / $205.61 / $306.99	Professional		$140.49	$205.61	$306.99
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 $144.30 / $199.56 / $317.33	Professional		$144.30	$199.56	$317.33