Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $7,943.28	Facility		$251.19	$316.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $309.03	Professional		$125.89	$158.49	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $380.19	Professional		$144.54	$269.15	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $309.03	Professional		$177.83	$234.42	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $229.09 / $426.58	Facility		$151.36	$229.09	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $331.13	Professional		$190.55	$234.42	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $257.04	Facility		$204.17	$245.47	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $316.23	Facility		$138.04	$204.17	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $338.84	Professional		$79.43	$239.88	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $338.84	Professional		$234.42	$263.03	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $354.81	Professional		$165.96	$245.47	$354.81