Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.33 / $636.44 / $7,920.26	Facility		$306.33	$636.44	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $236.19 / $593.92	Professional		$132.75	$236.19	$593.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.34 / $410.66 / $623.04	Professional		$222.34	$410.66	$623.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $403.56 / $542.71	Professional		$295.33	$403.56	$542.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.01 / $354.25 / $590.36	Facility		$207.01	$354.25	$590.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $364.14 / $597.75	Professional		$229.80	$364.14	$597.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $399.49 / $450.84	Facility		$233.36	$399.49	$450.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.19 / $443.00 / $1,738.00	Facility		$236.19	$443.00	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.44 / $420.29 / $604.99	Professional		$283.44	$420.29	$604.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $429.87 / $629.14	Professional		$299.10	$429.87	$629.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.17 / $475.97 / $699.85	Professional		$315.17	$475.97	$699.85