Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.21 / $159.01 / $174.75	Facility		$145.21	$159.01	$174.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $102.12 / $381.67	Professional		$71.59	$102.12	$381.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $162.37 / $210.92	Professional		$108.30	$162.37	$210.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $161.58 / $181.92	Professional		$129.46	$161.58	$181.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.12 / $157.97 / $219.56	Facility		$102.12	$157.97	$219.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $137.28 / $227.04	Professional		$107.10	$137.28	$227.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $139.03 / $147.56	Facility		$104.65	$139.03	$147.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.12 / $170.18 / $219.56	Facility		$102.12	$170.18	$219.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $165.98 / $208.48	Professional		$128.30	$165.98	$208.48
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 $131.61 / $173.95 / $222.39	Professional		$131.61	$173.95	$222.39
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 $108.17 / $163.44 / $227.68	Professional		$108.17	$163.44	$227.68