Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $13,803.84	Facility		$234.42	$338.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $316.23	Professional		$81.28	$138.04	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $371.54	Professional		$141.25	$263.03	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $309.03	Professional		$177.83	$229.09	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $380.19	Facility		$144.54	$208.93	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $316.23	Professional		$162.18	$208.93	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $239.88	Facility		$177.83	$234.42	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $295.12	Facility		$134.90	$177.83	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $323.59	Professional		$79.43	$229.09	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $323.59	Professional		$223.87	$251.19	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $323.59	Professional		$151.36	$234.42	$323.59