Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $257.04 / $7,943.28	Facility		$199.53	$257.04	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $281.84	Professional		$83.18	$125.89	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $354.81	Professional		$128.82	$223.87	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $363.08	Professional		$154.88	$213.80	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $309.03	Facility		$104.71	$190.55	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $346.74	Professional		$154.88	$229.09	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $295.12	Facility		$165.96	$239.88	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $309.03	Facility		$109.65	$186.21	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $354.81	Professional		$79.43	$218.78	$354.81
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 $186.21 / $257.04 / $363.08	Professional		$186.21	$257.04	$363.08
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 $138.04 / $223.87 / $363.08	Professional		$138.04	$223.87	$363.08