Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $6,760.83	Facility		$186.21	$363.08	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $323.59	Professional		$79.43	$131.83	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $354.81	Professional		$123.03	$213.80	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $346.74	Professional		$141.25	$190.55	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $354.81	Facility		$107.15	$186.21	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $338.84	Professional		$141.25	$234.42	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $295.12	Facility		$162.18	$269.15	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $302.00	Facility		$104.71	$181.97	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $363.08	Professional		$79.43	$213.80	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $363.08	Professional		$177.83	$239.88	$363.08
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 $128.82 / $213.80 / $363.08	Professional		$128.82	$213.80	$363.08