Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $7,943.28	Facility		$269.15	$489.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $616.60	Professional		$199.53	$269.15	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $602.56	Professional		$275.42	$416.87	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $501.19	Professional		$186.21	$416.87	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $288.40 / $691.83	Facility		$269.15	$288.40	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $660.69	Professional		$316.23	$436.52	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $380.19 / $407.38	Facility		$331.13	$380.19	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $281.84 / $501.19	Facility		$229.09	$281.84	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $562.34	Professional		$79.43	$389.05	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $630.96	Professional		$371.54	$478.63	$630.96
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 $295.12 / $426.58 / $588.84	Professional		$295.12	$426.58	$588.84