Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $6,606.93	Facility		$263.03	$467.74	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $363.08	Professional		$114.82	$177.83	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $524.81	Professional		$181.97	$309.03	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $489.78	Professional		$194.98	$275.42	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $489.78	Facility		$144.54	$263.03	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $467.74	Professional		$190.55	$316.23	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $416.87	Facility		$257.04	$389.05	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $426.58	Facility		$147.91	$251.19	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $512.86	Professional		$79.43	$302.00	$512.86
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 $251.19 / $380.19 / $537.03	Professional		$251.19	$380.19	$537.03
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 $177.83 / $295.12 / $512.86	Professional		$177.83	$295.12	$512.86