Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.20 / $645.32 / $7,920.26	Facility		$264.20	$645.32	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $211.96 / $526.49	Professional		$129.50	$211.96	$526.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $314.02 / $532.27	Professional		$191.91	$314.02	$532.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $316.14 / $480.23	Professional		$229.95	$316.14	$480.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.64 / $341.54 / $521.04	Facility		$175.64	$341.54	$521.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $315.27 / $539.16	Professional		$198.51	$315.27	$539.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $362.43 / $398.65	Facility		$219.49	$362.43	$398.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.64 / $377.63 / $521.04	Facility		$175.64	$377.63	$521.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.84 / $350.34 / $532.27	Professional		$227.84	$350.34	$532.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,028.80 / $1,288.73 / $1,617.16	Facility		$1,028.80	$1,288.73	$1,617.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $367.18 / $565.66	Professional		$230.47	$367.18	$565.66
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 $289.38 / $452.36 / $635.16	Professional		$289.38	$452.36	$635.16