Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $389.05 / $6,606.93	Facility		$173.78	$389.05	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $457.09	Professional		$91.20	$181.97	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $478.63	Professional		$144.54	$263.03	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $416.87	Professional		$158.49	$239.88	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $467.74	Facility		$123.03	$239.88	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $389.05	Professional		$144.54	$239.88	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $331.13 / $363.08	Facility		$239.88	$331.13	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $389.05	Facility		$112.20	$208.93	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $436.52	Professional		$79.43	$234.42	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,041.74	Facility		$1,258.93	$1,659.59	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $436.52	Professional		$169.82	$302.00	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $6,165.95	Facility		$389.05	$2,630.27	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $436.52	Professional		$134.90	$234.42	$436.52