Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $380.19 / $6,606.93	Facility		$208.93	$380.19	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $416.87	Professional		$112.20	$177.83	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $407.38	Professional		$147.91	$257.04	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $371.54	Professional		$147.91	$245.47	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $524.81	Facility		$138.04	$245.47	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $398.11	Professional		$162.18	$263.03	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $309.03	Facility		$223.87	$302.00	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $389.05	Facility		$134.90	$208.93	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $398.11	Professional		$79.43	$239.88	$398.11
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 $199.53 / $295.12 / $398.11	Professional		$199.53	$295.12	$398.11
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 $165.96 / $263.03 / $407.38	Professional		$165.96	$263.03	$407.38