Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $354.81 / $6,606.93	Facility		$204.17	$354.81	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $891.25	Professional		$125.89	$223.87	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $371.54	Professional		$147.91	$229.09	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $338.84	Professional		$141.25	$213.80	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $489.78	Facility		$125.89	$218.78	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $398.11	Professional		$158.49	$281.84	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $426.58	Facility		$234.42	$275.42	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $416.87	Facility		$117.49	$208.93	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $416.87	Professional		$79.43	$269.15	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $426.58	Professional		$204.17	$288.40	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $398.11	Professional		$154.88	$257.04	$398.11