Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $575.44 / $6,606.93	Facility		$302.00	$575.44	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $954.99	Professional		$151.36	$275.42	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $707.95	Professional		$245.47	$416.87	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $691.83	Professional		$269.15	$354.81	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $346.74 / $630.96	Facility		$190.55	$346.74	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $660.69	Professional		$245.47	$407.38	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $575.44	Facility		$323.59	$489.78	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $588.84	Facility		$190.55	$331.13	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $707.95	Professional		$79.43	$389.05	$707.95
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 $309.03 / $436.52 / $707.95	Professional		$309.03	$436.52	$707.95
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 $234.42 / $389.05 / $676.08	Professional		$234.42	$389.05	$676.08