Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.13 / $506.53 / $7,920.26	Facility		$232.13	$506.53	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $206.50 / $669.06	Professional		$126.68	$206.50	$669.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $352.05 / $583.24	Professional		$204.39	$352.05	$583.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.30 / $330.38 / $508.14	Professional		$239.30	$330.38	$508.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.73 / $335.85 / $559.69	Facility		$188.73	$335.85	$559.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $326.63 / $560.23	Professional		$200.70	$326.63	$560.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.45 / $376.00 / $415.48	Facility		$219.45	$376.00	$415.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.73 / $335.85 / $559.69	Facility		$188.73	$335.85	$559.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $363.52 / $559.36	Professional		$234.57	$363.52	$559.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $373.94 / $576.08	Professional		$229.18	$373.94	$576.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.47 / $462.17 / $646.84	Professional		$309.47	$462.17	$646.84