Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.90 / $322.02 / $7,920.26	Facility		$247.90	$322.02	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $159.56 / $583.30	Professional		$113.73	$159.56	$583.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $279.97 / $397.84	Professional		$170.90	$279.97	$397.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.18 / $281.11 / $362.42	Professional		$224.18	$281.11	$362.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.06 / $263.41 / $350.20	Facility		$158.06	$263.41	$350.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $235.90 / $404.61	Professional		$183.60	$235.90	$404.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $257.39 / $293.45	Facility		$163.60	$257.39	$293.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.06 / $273.70 / $369.84	Facility		$158.06	$273.70	$369.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $285.95 / $390.24	Professional		$205.44	$285.95	$390.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $290.33 / $408.37	Professional		$214.94	$290.33	$408.37
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 $207.48 / $297.60 / $458.53	Professional		$207.48	$297.60	$458.53