Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $636.80 / $7,920.26	Facility		$289.82	$636.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $254.37 / $892.43	Professional		$156.06	$254.37	$892.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $435.46 / $760.07	Professional		$262.02	$435.46	$760.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $408.57 / $659.61	Professional		$290.08	$408.57	$659.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.56 / $381.65 / $617.22	Facility		$223.56	$381.65	$617.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $423.98 / $592.14	Professional		$272.20	$423.98	$592.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.56 / $463.30 / $571.51	Facility		$279.56	$463.30	$571.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.34 / $394.27 / $732.82	Facility		$219.34	$394.27	$732.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.45 / $460.35 / $714.39	Professional		$312.45	$460.35	$714.39
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 $326.29 / $525.24 / $809.17	Professional		$326.29	$525.24	$809.17
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 $348.71 / $502.44 / $798.96	Professional		$348.71	$502.44	$798.96