Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $3,467.37	Facility		$120.23	$208.93	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $223.87	Professional		$74.13	$95.50	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Professional		$323.59	$323.59	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $194.98	Professional		$109.65	$144.54	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $218.78	Facility		$85.11	$128.82	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $218.78	Professional		$112.20	$144.54	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $162.18	Facility		$134.90	$158.49	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $123.03 / $204.17	Facility		$81.28	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $213.80	Professional		$79.43	$158.49	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $5,754.40	Facility		$3,715.35	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $223.87	Professional		$151.36	$181.97	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $234.42	Professional		$104.71	$162.18	$234.42