Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $267.32 / $7,920.26	Facility		$146.51	$267.32	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $131.91 / $317.18	Professional		$86.40	$131.91	$317.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $221.07	Professional	50	$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $220.26 / $324.57	Professional		$130.90	$220.26	$324.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $218.55 / $291.02	Professional		$161.35	$218.55	$291.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.12 / $205.01 / $291.30	Facility		$119.12	$205.01	$291.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $197.78 / $355.59	Professional		$135.56	$197.78	$355.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.28 / $218.77 / $242.54	Facility		$136.28	$218.77	$242.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.12 / $227.70 / $308.06	Facility		$119.12	$227.70	$308.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.65 / $229.08 / $330.08	Professional		$158.65	$229.08	$330.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $232.42 / $340.15	Professional		$161.19	$232.42	$340.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.50 / $381.96	Professional		$179.66	$246.50	$381.96