Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $6,606.93	Facility		$229.09	$426.58	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $426.58	Professional		$117.49	$186.21	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $467.74	Professional		$158.49	$302.00	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $416.87	Professional		$181.97	$281.84	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $446.68	Facility		$154.88	$257.04	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $398.11	Professional		$173.78	$288.40	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $346.74	Facility		$245.47	$323.59	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $389.05	Facility		$147.91	$251.19	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $436.52	Professional		$79.43	$288.40	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,041.74	Facility		$1,258.93	$1,737.80	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $446.68	Professional		$223.87	$323.59	$446.68
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 $173.78 / $288.40 / $446.68	Professional		$173.78	$288.40	$446.68