Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $691.83 / $6,606.93	Facility		$234.42	$691.83	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $724.44	Professional		$97.72	$239.88	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $338.84 / $954.99	Professional		$151.36	$338.84	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $933.25	Professional		$186.21	$389.05	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $346.74 / $870.96	Facility		$144.54	$346.74	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $389.05 / $912.01	Professional		$169.82	$389.05	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $707.95	Facility		$354.81	$575.44	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $776.25	Facility		$141.25	$309.03	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $891.25	Professional		$79.43	$269.15	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $501.19	Facility		$309.03	$398.11	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $912.01	Professional		$204.17	$363.08	$912.01
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 $162.18 / $295.12 / $912.01	Professional		$162.18	$295.12	$912.01