Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $645.65 / $6,606.93	Facility		$213.80	$645.65	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $269.15 / $588.84	Professional		$107.15	$269.15	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $776.25	Professional		$147.91	$316.23	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $758.58	Professional		$181.97	$302.00	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $724.44	Facility		$141.25	$338.84	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $416.87 / $707.95	Professional		$165.96	$416.87	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $575.44	Facility		$354.81	$512.86	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $309.03 / $660.69	Facility		$125.89	$309.03	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $724.44	Professional		$79.43	$269.15	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,621.81	Facility		$1,023.29	$1,288.25	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $741.31	Professional		$199.53	$354.81	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,949.84 / $6,165.95	Facility		$389.05	$1,949.84	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $724.44	Professional		$162.18	$331.13	$724.44