Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $175.12 / $193.06	Facility		$160.16	$175.12	$193.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $112.65 / $420.26	Professional		$78.48	$112.65	$420.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $178.85 / $233.28	Professional		$119.79	$178.85	$233.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $177.86 / $200.25	Professional		$142.50	$177.86	$200.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $174.73 / $242.20	Facility		$112.65	$174.73	$242.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $151.32 / $249.31	Professional		$120.68	$151.32	$249.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $153.04 / $162.13	Facility		$115.31	$153.04	$162.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $187.73 / $242.20	Facility		$112.65	$187.73	$242.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $183.53 / $230.11	Professional		$141.91	$183.53	$230.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,393.32 / $1,719.25	Facility		$1,093.73	$1,393.32	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $192.00 / $245.47	Professional		$144.53	$192.00	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $170.60 / $250.00	Professional		$119.61	$170.60	$250.00