Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.72 / $3,213.00 / $7,920.26	Facility		$205.72	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $204.04 / $727.22	Professional		$147.06	$204.04	$727.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $297.29 / $454.75	Professional		$185.97	$297.29	$454.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $237.33 / $326.31	Professional		$163.16	$237.33	$326.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $203.16 / $464.06	Facility		$132.63	$203.16	$464.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.47 / $257.30 / $395.97	Professional		$175.47	$257.30	$395.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.74 / $286.08 / $430.14	Facility		$230.74	$286.08	$430.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.29 / $219.41 / $454.47	Facility		$129.29	$219.41	$454.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.20 / $274.77 / $419.90	Professional		$195.20	$274.77	$419.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $287.85 / $454.03	Professional		$199.40	$287.85	$454.03
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 $203.35 / $286.35 / $449.01	Professional		$203.35	$286.35	$449.01