Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $851.14 / $7,943.28	Facility		$295.12	$851.14	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $616.60	Professional		$144.54	$275.42	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $891.25	Professional		$223.87	$416.87	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $776.25	Professional		$275.42	$407.38	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $776.25	Facility		$204.17	$371.54	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $724.44	Professional		$223.87	$426.58	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $645.65	Facility		$363.08	$512.86	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $338.84 / $676.08	Facility		$181.97	$338.84	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $812.83	Professional		$79.43	$380.19	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,041.74	Facility		$1,258.93	$1,659.59	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $831.76	Professional		$281.84	$489.78	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $6,165.95	Facility		$389.05	$2,630.27	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $794.33	Professional		$213.80	$389.05	$794.33