Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $7,943.28	Facility		$204.17	$257.04	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $275.42	Professional		$93.33	$114.82	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,398.83	Facility		$1,949.84	$1,949.84	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $295.12	Professional		$109.65	$194.98	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $239.88	Professional		$154.88	$199.53	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $257.04	Facility		$97.72	$144.54	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $263.03	Professional		$128.82	$190.55	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $199.53 / $208.93	Facility		$158.49	$199.53	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $251.19	Facility		$95.50	$144.54	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $281.84	Professional		$79.43	$204.17	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $281.84	Professional		$194.98	$218.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,120.11 / $12,882.50	Facility		$1,621.81	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $288.40	Professional		$112.20	$204.17	$288.40