Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $10,471.29	Facility		$229.09	$457.09	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $436.52	Professional		$114.82	$199.53	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $537.03	Professional		$173.78	$323.59	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $512.86	Professional		$218.78	$323.59	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $489.78	Facility		$158.49	$281.84	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $478.63	Professional		$190.55	$316.23	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $398.11	Facility		$245.47	$354.81	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Facility		$144.54	$257.04	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $489.78	Professional		$79.43	$288.40	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,467.37	Facility		$2,187.76	$2,884.03	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $489.78	Professional		$218.78	$346.74	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $7,413.10	Facility		$1,698.24	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $501.19	Professional		$177.83	$302.00	$501.19