Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.70 / $391.98 / $7,920.26	Facility		$171.70	$391.98	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $139.88 / $492.52	Professional		$89.48	$139.88	$492.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $246.90 / $464.80	Professional		$141.60	$246.90	$464.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $213.83 / $410.36	Professional		$164.18	$213.83	$410.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.70 / $237.73 / $385.12	Facility		$121.70	$237.73	$385.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $274.20 / $399.42	Professional		$150.51	$274.20	$399.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.18 / $314.89 / $365.15	Facility		$179.18	$314.89	$365.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $252.72 / $615.26	Facility		$128.38	$252.72	$615.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $279.02 / $445.51	Professional		$177.03	$279.02	$445.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $323.77 / $503.12	Professional		$181.92	$323.77	$503.12
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 $234.24 / $317.20 / $504.40	Professional		$234.24	$317.20	$504.40