Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $6,606.93	Facility		$245.47	$436.52	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $489.78	Professional		$107.15	$181.97	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $489.78	Professional		$169.82	$295.12	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $457.09	Professional		$186.21	$257.04	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $457.09	Facility		$134.90	$245.47	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $446.68	Professional		$173.78	$295.12	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $363.08 / $389.05	Facility		$245.47	$363.08	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $398.11	Facility		$138.04	$234.42	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $478.63	Professional		$79.43	$281.84	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $501.19	Professional		$234.42	$354.81	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $478.63	Professional		$165.96	$275.42	$478.63