Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.31 / $319.89 / $7,920.26	Facility		$223.31	$319.89	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $141.54 / $331.12	Professional		$76.02	$141.54	$331.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $228.13 / $380.39	Professional		$142.91	$228.13	$380.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.77 / $235.30 / $341.01	Professional		$161.77	$235.30	$341.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.07 / $201.57 / $308.14	Facility		$130.07	$201.57	$308.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.32 / $229.97 / $324.64	Professional		$163.32	$229.97	$324.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.91 / $237.18 / $292.79	Facility		$141.91	$237.18	$292.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.07 / $201.57 / $371.56	Facility		$130.07	$201.57	$371.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.70 / $255.44 / $363.29	Professional		$180.70	$255.44	$363.29
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 $196.35 / $277.70 / $410.27	Professional		$196.35	$277.70	$410.27
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 $199.21 / $280.83 / $426.88	Professional		$199.21	$280.83	$426.88