Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $407.38 / $6,606.93	Facility		$234.42	$407.38	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $338.84	Professional		$102.33	$165.96	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $457.09	Professional		$165.96	$275.42	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $426.58	Professional		$173.78	$251.19	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $426.58	Facility		$131.83	$234.42	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $407.38	Professional		$173.78	$281.84	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $363.08	Facility		$229.09	$338.84	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $371.54	Facility		$134.90	$213.80	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $446.68	Professional		$79.43	$269.15	$446.68
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 $229.09 / $302.00 / $457.09	Professional		$229.09	$302.00	$457.09
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 $158.49 / $257.04 / $446.68	Professional		$158.49	$257.04	$446.68