Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.42 / $988.00 / $7,920.26	Facility		$249.42	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $165.84 / $548.04	Professional		$99.06	$165.84	$548.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $262.27 / $406.45	Professional		$162.41	$262.27	$406.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $259.44 / $369.45	Professional		$191.54	$259.44	$369.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.35 / $232.51 / $398.65	Facility		$137.35	$232.51	$398.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $268.11 / $450.90	Professional		$163.85	$268.11	$450.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $296.81 / $310.88	Facility		$184.08	$296.81	$310.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.35 / $265.45 / $398.65	Facility		$137.35	$265.45	$398.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $289.92 / $431.35	Professional		$192.78	$289.92	$431.35
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 $198.10 / $289.93 / $429.22	Professional		$198.10	$289.93	$429.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,322.06 / $7,480.00	Facility		$1,106.00	$2,322.06	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.36 / $336.24 / $481.95	Professional		$230.36	$336.24	$481.95