Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $371.54 / $7,943.28	Facility		$302.00	$371.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $398.11	Professional		$128.82	$151.36	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $416.87	Professional		$173.78	$263.03	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $346.74	Professional		$151.36	$309.03	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $524.81	Facility		$151.36	$295.12	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $467.74	Professional		$251.19	$302.00	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $363.08	Facility		$251.19	$288.40	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $389.05	Facility		$165.96	$245.47	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $436.52	Professional		$79.43	$288.40	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $457.09	Professional		$239.88	$309.03	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $426.58	Professional		$204.17	$295.12	$426.58