Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $459.18 / $10,516.81	Facility		$251.53	$459.18	$10,516.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $302.60 / $630.16	Professional		$127.68	$302.60	$630.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $321.91 / $540.09	Professional		$183.03	$321.91	$540.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.88 / $320.30 / $489.37	Professional		$233.88	$320.30	$489.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.51 / $311.00 / $525.69	Facility		$176.51	$311.00	$525.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $315.95 / $541.91	Professional		$191.98	$315.95	$541.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.01 / $352.42 / $412.10	Facility		$215.01	$352.42	$412.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.51 / $342.24 / $525.69	Facility		$176.51	$342.24	$525.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $339.08 / $523.42	Professional		$219.70	$339.08	$523.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,206.26 / $2,673.00 / $3,393.44	Facility		$2,206.26	$2,673.00	$3,393.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $346.27 / $533.44	Professional		$218.82	$346.27	$533.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.38 / $444.24 / $593.39	Professional		$298.38	$444.24	$593.39