Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $281.84 / $7,943.28	Facility		$218.78	$281.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $302.00	Professional		$97.72	$147.91	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $398.11	Professional		$151.36	$251.19	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $398.11	Professional		$169.82	$234.42	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $363.08	Facility		$123.03	$218.78	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $389.05	Professional		$173.78	$269.15	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $323.59	Facility		$186.21	$302.00	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $208.93 / $331.13	Facility		$123.03	$208.93	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $398.11	Professional		$79.43	$245.47	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,398.83	Facility		$977.24	$1,659.59	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $398.11	Professional		$213.80	$288.40	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $398.11	Professional		$154.88	$245.47	$398.11