Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.71 / $185.23 / $3,460.86	Facility		$171.71	$185.23	$3,460.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $121.80 / $428.00	Professional		$74.73	$121.80	$428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $325.33 / $389.79	Professional		$325.33	$325.33	$389.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $187.33 / $211.21	Professional		$131.59	$187.33	$211.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.80 / $172.88 / $261.87	Facility		$121.80	$172.88	$261.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $144.00 / $258.89	Professional		$122.91	$144.00	$258.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $155.88 / $165.49	Facility		$116.28	$155.88	$165.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.80 / $191.16 / $261.87	Facility		$121.80	$191.16	$261.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $193.98 / $247.38	Professional		$151.83	$193.98	$247.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,646.71 / $5,743.77	Facility		$3,709.51	$4,646.71	$5,743.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $200.20 / $255.96	Professional		$151.30	$200.20	$255.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $180.88 / $261.70	Professional		$128.79	$180.88	$261.70