Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.67 / $3,213.00 / $7,920.26	Facility		$197.67	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $184.34 / $483.55	Professional		$105.92	$184.34	$483.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.15 / $290.36 / $467.88	Professional		$167.15	$290.36	$467.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.49 / $254.20 / $418.33	Professional		$177.49	$254.20	$418.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $268.16 / $477.70	Facility		$133.66	$268.16	$477.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $269.52 / $501.00	Professional		$154.13	$269.52	$501.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $307.23 / $361.13	Facility		$181.54	$307.23	$361.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $287.39 / $477.70	Facility		$133.66	$287.39	$477.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $276.93 / $463.34	Professional		$172.26	$276.93	$463.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,550.94 / $2,059.69	Facility		$1,245.03	$1,550.94	$2,059.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $313.66 / $483.23	Professional		$171.56	$313.66	$483.23
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $377.29 / $537.53	Professional		$240.63	$377.29	$537.53