Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $416.87 / $6,606.93	Facility		$138.04	$416.87	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $147.91 / $309.03	Professional		$58.88	$147.91	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $457.09	Professional		$97.72	$204.17	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $416.87	Professional		$104.71	$173.78	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $208.93 / $416.87	Facility		$85.11	$208.93	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $389.05	Professional		$93.33	$213.80	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $316.23	Facility		$218.78	$309.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $173.78 / $363.08	Facility		$75.86	$173.78	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $407.38	Professional		$79.43	$173.78	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $407.38	Professional		$128.82	$229.09	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $407.38	Professional		$107.15	$199.53	$407.38