Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.55 / $282.16 / $7,920.26	Facility		$200.55	$282.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $194.38 / $481.12	Professional		$100.50	$194.38	$481.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $232.12 / $350.70	Professional		$141.01	$232.12	$350.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $229.69 / $304.67	Professional		$169.57	$229.69	$304.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $227.38 / $344.25	Facility		$136.44	$227.38	$344.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $214.53 / $346.93	Professional		$152.27	$214.53	$346.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.08 / $237.12 / $280.16	Facility		$153.08	$237.12	$280.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $253.92 / $344.25	Facility		$136.44	$253.92	$344.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $244.11 / $346.84	Professional		$171.52	$244.11	$346.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $244.07 / $357.21	Professional		$173.50	$244.07	$357.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.33 / $279.45 / $401.07	Professional		$191.33	$279.45	$401.07