Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $263.03 / $6,606.93	Facility		$75.86	$263.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $125.89 / $239.88	Professional		$45.71	$125.89	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $316.23	Professional		$58.88	$120.23	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $302.00	Professional		$61.66	$95.50	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $162.18 / $371.54	Facility		$50.12	$162.18	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $302.00	Professional		$67.61	$169.82	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $281.84	Facility		$169.82	$223.87	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $158.49 / $309.03	Facility		$48.98	$158.49	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $309.03	Professional		$69.18	$109.65	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $295.12	Professional		$74.13	$131.83	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $309.03	Professional		$69.18	$165.96	$309.03