Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $6,606.93	Facility		$316.23	$457.09	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $426.58	Professional		$151.36	$204.17	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $512.86	Professional		$204.17	$371.54	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $457.09	Professional		$234.42	$354.81	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $630.96	Facility		$199.53	$275.42	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $478.63	Professional		$239.88	$316.23	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $363.08	Facility		$263.03	$354.81	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $446.68	Facility		$186.21	$275.42	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $346.74 / $467.74	Professional		$79.43	$346.74	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,630.27	Facility		$1,584.89	$2,041.74	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $489.78	Professional		$302.00	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $7,413.10	Facility		$1,096.48	$2,754.23	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $489.78	Professional		$223.87	$338.84	$489.78