Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $7,943.28	Facility		$169.82	$309.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $389.05	Professional		$131.83	$169.82	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $380.19	Professional		$173.78	$288.40	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $323.59	Professional		$117.49	$263.03	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $371.54	Facility		$169.82	$251.19	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $426.58	Professional		$199.53	$269.15	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $245.47 / $263.03	Facility		$213.80	$245.47	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $363.08	Facility		$147.91	$239.88	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $354.81	Professional		$79.43	$245.47	$354.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $407.38	Professional		$234.42	$302.00	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $380.19	Professional		$199.53	$275.42	$380.19