Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $346.74 / $6,606.93	Facility		$102.33	$346.74	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $141.25 / $295.12	Professional		$52.48	$141.25	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $165.96 / $416.87	Professional		$72.44	$165.96	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $380.19	Professional		$83.18	$154.88	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $181.97 / $457.09	Facility		$61.66	$181.97	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $354.81	Professional		$77.62	$190.55	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $309.03	Facility		$173.78	$245.47	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $158.49 / $316.23	Facility		$60.26	$158.49	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $389.05	Professional		$79.43	$131.83	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,981.07	Facility		$2,570.40	$3,311.31	$3,981.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $398.11	Professional		$95.50	$169.82	$398.11
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 $79.43 / $154.88 / $389.05	Professional		$79.43	$154.88	$389.05