Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.11 / $250.41 / $7,920.26	Facility		$132.11	$250.41	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $115.00 / $280.31	Professional		$58.17	$115.00	$280.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $170.31 / $306.18	Professional		$99.63	$170.31	$306.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $169.44 / $269.89	Professional		$117.71	$169.44	$269.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $175.74 / $292.87	Facility		$86.93	$175.74	$292.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $175.56 / $300.26	Professional		$97.66	$175.56	$300.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.70 / $200.76 / $225.14	Facility		$107.70	$200.76	$225.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $175.74 / $292.87	Facility		$86.93	$175.74	$292.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $181.65 / $309.12	Professional		$113.40	$181.65	$309.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,179.07	Facility		$1,245.03	$1,561.00	$2,179.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $205.09 / $318.36	Professional		$115.24	$205.09	$318.36
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 $168.53 / $234.83 / $357.47	Professional		$168.53	$234.83	$357.47